title: Indoxacarb-Related ARDS, Neurotoxicity and Orange Urine.
abstract: A 17 year old male developed adult respiratory distress syndrome (ARDS), seizures, intravascular hemolysis and peripheral neuropathy following self-poisoning with a pesticide containing 14.5% indoxacarb. He was managed conservatively with fluid management, antibiotics, mechanical ventilation and physiotherapy. There is limited data concerning the human toxicity of indoxacarb. This case demonstrates that findings from animal studies, such as seizures, respiratory distress, and intravascular hemolysis are possible following self-poisoning in humans. In this patient, partial recovery was achieved following supportive care.
authors.affiliation: Department of General Medicine, Indira Gandhi Medical College, Kathirkamam, Pondicherry-605009, India.
authors.forename: Stalin
authors.initials: S
authors.lastname: Viswanathan
authors.affiliation: Department of Oral Pathology, Indira Gandhi Institute of Dental Sciences, Mahatma Gandhi Medical College and Research Institute Complex, Pilaiyarkuppam, Pondicherry, India.
authors.forename: Shanthi
authors.initials: S
authors.lastname: Kumar
authors.affiliation: Department of General Medicine, Indira Gandhi Medical College, Kathirkamam, Pondicherry-605009, India.
authors.forename: Balamurugesan
authors.initials: B
authors.lastname: Kandan
keywords: ARDS; indoxacarbs; neurotoxicity; orange urine