A case report on acute combined poisoning of Indoxacarb and Novoluron and its management

In India, it is not uncommon for individuals to attempt suicide by ingesting pesticides. Though several publications have reported cases, there are no specific guidelines for managing indoxacarb poisoning. There is no established antidote for indoxacarb poisoning; however, early recognition and trea...

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Main Authors: Rohita Chitithoti, Chopparapu Sai Supraja, Danaboyina Sreelekha, Sri Lakshmi Sai Meghana Adusumilli, Ramireddy Veerareddy, Puppala Santosh
Format: Article
Language:English
Published: SAGE Publishing 2025-01-01
Series:SAGE Open Medical Case Reports
Online Access:https://doi.org/10.1177/2050313X241307682
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author Rohita Chitithoti
Chopparapu Sai Supraja
Danaboyina Sreelekha
Sri Lakshmi Sai Meghana Adusumilli
Ramireddy Veerareddy
Puppala Santosh
author_facet Rohita Chitithoti
Chopparapu Sai Supraja
Danaboyina Sreelekha
Sri Lakshmi Sai Meghana Adusumilli
Ramireddy Veerareddy
Puppala Santosh
author_sort Rohita Chitithoti
collection DOAJ
description In India, it is not uncommon for individuals to attempt suicide by ingesting pesticides. Though several publications have reported cases, there are no specific guidelines for managing indoxacarb poisoning. There is no established antidote for indoxacarb poisoning; however, early recognition and treatment of methemoglobinaemia, the primary manifestation, is essential. Early intervention is crucial for a positive outcome. Methemoglobinaemia can be successfully treated with methylene blue, which serves as the first line of management. This case report describes a 24-year-old man presenting with methemoglobinaemia following the ingestion of indoxacarb combined with novaluron and was successfully treated with early administration of methylene blue, leading to rapid recovery despite a methaemoglobin level as high as 75%.
format Article
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issn 2050-313X
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publisher SAGE Publishing
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series SAGE Open Medical Case Reports
spelling doaj-art-013766e0dd094bebb66a02a2d19fc4dd2025-08-20T02:36:31ZengSAGE PublishingSAGE Open Medical Case Reports2050-313X2025-01-011310.1177/2050313X241307682A case report on acute combined poisoning of Indoxacarb and Novoluron and its managementRohita ChitithotiChopparapu Sai SuprajaDanaboyina SreelekhaSri Lakshmi Sai Meghana AdusumilliRamireddy VeerareddyPuppala SantoshIn India, it is not uncommon for individuals to attempt suicide by ingesting pesticides. Though several publications have reported cases, there are no specific guidelines for managing indoxacarb poisoning. There is no established antidote for indoxacarb poisoning; however, early recognition and treatment of methemoglobinaemia, the primary manifestation, is essential. Early intervention is crucial for a positive outcome. Methemoglobinaemia can be successfully treated with methylene blue, which serves as the first line of management. This case report describes a 24-year-old man presenting with methemoglobinaemia following the ingestion of indoxacarb combined with novaluron and was successfully treated with early administration of methylene blue, leading to rapid recovery despite a methaemoglobin level as high as 75%.https://doi.org/10.1177/2050313X241307682
spellingShingle Rohita Chitithoti
Chopparapu Sai Supraja
Danaboyina Sreelekha
Sri Lakshmi Sai Meghana Adusumilli
Ramireddy Veerareddy
Puppala Santosh
A case report on acute combined poisoning of Indoxacarb and Novoluron and its management
SAGE Open Medical Case Reports
title A case report on acute combined poisoning of Indoxacarb and Novoluron and its management
title_full A case report on acute combined poisoning of Indoxacarb and Novoluron and its management
title_fullStr A case report on acute combined poisoning of Indoxacarb and Novoluron and its management
title_full_unstemmed A case report on acute combined poisoning of Indoxacarb and Novoluron and its management
title_short A case report on acute combined poisoning of Indoxacarb and Novoluron and its management
title_sort case report on acute combined poisoning of indoxacarb and novoluron and its management
url https://doi.org/10.1177/2050313X241307682
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