Cartap Hydrochloride Poisoning Mimicking Organophosphorus Poisoning

Thomas, Zanetha; P, Akhila Eldo; K K, Muhammed Ismail; V S, Vinod; K, Nikitha

doi:10.22038/apjmt.2024.78980.1452

Cartap Hydrochloride Poisoning Mimicking Organophosphorus Poisoning

Document Type : Case Report

Authors

Zanetha Thomas ¹

Akhila Eldo P ²

Muhammed Ismail K K ¹

Vinod V S ³

Nikitha K ¹

¹ Department of General Medicine P K Das Institute Of Medical Sciences, Vaniyamkulam, Palakkad , Kerala, India.

² Department of Pharmacy Nehru College of Pharmacy, Pampady, Thrissur, Kerala, India.

³ Department of General Medicine P K Das Institute Of Medical Sciences, Vaniyamkulam, Palakkad , Kerala, India

https://doi.org/10.22038/apjmt.2024.78980.1452

Abstract

Background: Cartap is a class 4 pesticide and categorized by the insecticide resistance action committee (irac) as safe and non-toxic to people. The main routes of exposure include ingestion, skin contact, and eye contact.
Case presentation: A 35-year-old man, a bus driver from South Kerala, was bought to the emergency department with history of consumption of cartap hydrochloride after two hours of poisoning.
Results: All the necessary measures were taken to prevent further exposure to the poison. Patient was intubated and mechanically ventilated. The patient's condition began to deteriorate gradually, culminating in multiorgan dysfunction and eventual death on the 7^th day of hospitalization, with no restoration of consciousness.
Conclusion: This report enables medical professionals to identify and manage an uncommon poisoning that causes lethal toxicity.

Keywords

Cartap Hydrochloride

Poisoning

Antiepileptics

Gastric Lavage

Nereistoxin

Subjects

Medical Toxicology

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