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Clinical Toxicology Volume 48, 2010 - Issue 7
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Methemoglobinemia induced by indoxacarb intoxication

Ya-Ju Wu Department of Internal Medicine, Buddhist Tzu Chi General Hospital, Hualien, Taiwan
,
Yu-Li Lin Department of Internal Medicine, Buddhist Tzu Chi General Hospital, Hualien, Taiwan
,
Han-Yu Huang Division of Medical Intensive Care Unit, Buddhist Tzu Chi General Hospital, Hualien, Taiwan
&
Bang-Gee Hsu Division of Nephrology, Department of Internal Medicine, Buddhist Tzu Chi General Hospital, Hualien, TaiwanCorrespondence[email protected]
Pages 766-767 | Received 12 Apr 2010, Accepted 20 Jun 2010, Published online: 20 Sep 2010
 
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Abstract

Indoxacarb is a recently introduced insecticide whose mode of action is blockage of voltage-gated sodium channels. There are limited data on human ingestion. A case of 68-year-old healthy male who presented with general cyanosis because of methemoglobinemia following the ingestion of indoxacarb is presented. After receiving a methylene blue injection, the patient recovered without sequelae.

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