Prallethrin Poisoning Presenting as Status Epilepticus

D Vijayaraju, Ramkumar S, SR Subramanian
2014 Online Journal of Health & Allied Sciences  
Mosquito repellents contain pyrethroid derivatives, as the active ingredient. Data regarding human toxicity following oral intake is limited. This is a case report of an individual who presented with neurotoxicity following oral ingestion of prallethrin (2.4% w/w) of a higher concentration present in formulations commercially available than previously. A 22 year old male presented to the emergency Room (ER) in status epilepticus. He was managed in the Intensive Care Unit (ICU). No cause for his
more » ... status could be determined after all laboratory investigations. A review of history with the patient revealed that he had ingested a bottle of liquid mosquito repellent (45 ml). The patient has had no further symptoms on follow up and has been off anti epileptics. Pyrethroid containing mosquito repellents act on neuronal sodium channels causing hyperexcitiability. With no known specific antidotes, symptomatic treatment is the main stay of management.
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