TY  - JOUR
PY  - 2011//
TI  - Successful treatment of methemoglobinemia and acute renal failure after indoxacarb poisoning
JO  - Clinical toxicology (Philadelphia, Pa.)
A1  - Park, Jung Soo
A1  - Kim, Hoon
A1  - Lee, Suk Woo
A1  - Min, Jin Hong
SP  - 744
EP  - 746
VL  - 49
IS  - 8
N2  - CONTEXT: We report a case of systemic toxicity induced by indoxacarb, an oxadiazine insecticide. Previous reports have suggested the occurrence of methemoglobinemia after indoxacarb ingestion, but no case of indoxacarb-induced systemic toxicity, such as acute renal failure, has been reported thus far.  CASE DETAILS: A 71-year-old woman presented with indoxacarb poisoning, resulting in methemoglobinemia and acute renal failure. The methemoglobinemia improved after methylene blue administration, but rapidly progressive acute renal failure occurred 7 h after admission. She was treated with continuous veno-venous hemofiltration and intravenous sodium bicarbonate and recovered successfully.  DISCUSSION: Ingestion of indoxacarb may produce not only methemoglobinemia, but also systemic toxicities like acute renal failure, which can be successfully treated with aggressive therapy such as continuous veno-venous hemofiltration. Physicians should be alert to acute renal failure as a possible complication of indoxacarb ingestion, and treat it accordingly.<p /> <p>Language: en</p>
LA  - en
SN  - 1556-3650
UR  - http://dx.doi.org/10.3109/15563650.2011.602080
ID  - ref1
ER  -