Too Blue To Be True”: Indoxacarb Induced Methemoglobinemia- A Rare Case

Authors

  • Jerry Jacob
  • Karthik Reddy C H
  • Jobin James
  • Nijila Janardhanan

DOI:

https://doi.org/10.37506/ijfmt.v15i4.16921

Keywords:

insecticide, toxin, indoxacarb, novaluron, methemoglobinemia, cyanosis, methylene blue, tissue hypoxia.

Abstract

Indoxacarb is an oxadiazine insecticide, which is a sodium channel blocker in the nervous system of insects
and causes mild tremors, cessation of feeding, and death in few hours.
Here we describe a case of novaluron and indoxacarb poisoning in a suicide attempt. The patient presented
with cyanosis with saturation – paO2 gapindicating methemoglobinemia and was treated with methylene
blue and other supportive measures.

Author Biographies

Jerry Jacob

Junior Resident, Emergency Medicine, St. Johns Medical College Hospital, Bengaluru

Karthik Reddy C H

Assistant Professor,Emergency Medicine, St. Johns Medical College Hospital, Bengaluru,

Jobin James

Senior Resident, Emergency Medicine, St. Johns Medical College Hospital , Bengaluru

Nijila Janardhanan

Junior Resident, Emergency Medicine, St. Johns Medical College Hospital, Bengaluru

Published

2021-08-16

How to Cite

Jerry Jacob, Karthik Reddy C H, Jobin James, & Nijila Janardhanan. (2021). Too Blue To Be True”: Indoxacarb Induced Methemoglobinemia- A Rare Case. Indian Journal of Forensic Medicine & Toxicology, 15(4), 1501-1507. https://doi.org/10.37506/ijfmt.v15i4.16921