@article{ref1,
title="Indoxacarb poisoning presenting as methemoglobinemia: a case report",
journal="International journal of critical illness and injury science",
year="2024",
author="Mohammed, Abdelhakim Osman Hassan and Saeed, Malik Muhammed Akbar and Ahmad, Akhwand Shakeel and Abdulla, Mansoor C.",
volume="14",
number="1",
pages="59-61",
abstract="A 34-year-old Sri Lankan man presented with multiple episodes of vomiting following accidental ingestion of 100 ml of indoxacarb (Avaunt). He had a significant saturation gap (discrepancy between oxygen saturation [98%] in blood gas analysis and saturation on pulse oximetry [70%] in finger pulse oximetry), the color of the blood was muddy brown, and the methemoglobin level (60%) was high in the blood gas analysis. A diagnosis of methemoglobinemia secondary to indoxacarb poisoning was made, and he was treated with methylene blue with a favorable outcome. Methemoglobinemia secondary to indoxacarb poisoning is extremely rare, and clinicians should be aware of this important complication. Methemoglobinemia secondary to indoxacarb poisoning has a favorable outcome if recognized and treated promptly.<p /> <p>Language: en</p>",
language="en",
issn="2229-5151",
doi="10.4103/ijciis.ijciis_37_23",
url="http://dx.doi.org/10.4103/ijciis.ijciis_37_23"
}