Poisoning causing methemoglobinemia treated with parenteral vitamin C: a case report.

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Poisoning causing methemoglobinemia treated with parenteral vitamin C: a case report.

Post by ofonorow » Wed Mar 27, 2024 9:20 am

Indoxacarb poisoning causing methemoglobinemia treated with parenteral vitamin C: a case report.
https://www.physiciansweekly.com/indoxa ... se-report/
This case study reports on a suicide attempt involving indoxacarb and vitamin C. Indoxacarb is a neurotoxic insecticide used in agriculture and as a flea controller in pets.

A 28-year-old south-east Asian female patient ingested an insecticide containing 5.25% novaluron, 4.5% indoxacarb, and 25% thiamethoxam, and reported that she noticed muddy brown urine but presented with no active signs or symptoms of poisoning.

Gastric lavage was performed, and blood investigations revealed a muddy-brown-colored blood sample and methemoglobin levels of 12%. The patient was treated with high-dose vitamin C and showed significant improvement, with a drop in methemoglobin levels to 1.2% and an increase in oxygen saturation to 97%.
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