With increasing awareness of “greener” environment, market is flooded with biopesticide. Natural insecticides can be chemical, mineral, or biological. We report an unusual case of methemoglobinemia after deliberate ingestion of an insecticide containing extract of pine oil and azadirachtin oil, Ti oil, and kerosene. On literature search, no such case report has been documented so far.
Mansouri A, Lurie AA. Concise review: methemoglobinemia. Am J Hematol 1993;42(1):7–12. DOI: 10.1002/ajh.2830420104.
Skold A, Cosco DL, Klein R. Methemoglobinemia: pathogenesis, diagnosis, and management. South Med J 2011;104(11):757–761. DOI: 10.1097/SMJ.0b013e318232139f.
Yang JJ, Lin N, Lv R, Sun J, Zhao F, Zhang J, et al. Methemoglobinemia misdiagnosed as ruptured ectopic pregnancy. Acta Anaesthesiol Scand 2005;;49(4):586–588. DOI: 10.1111/j.1399-6576.2005.00640.x.
Nascimento TS, Pereira ROL, Mello HLD, Costa J. Methemoglobinemia: from diagnosis to treatment. Rev Bras Anestesiol 2008;58(6):651–664. DOI: 10.1590/s0034-70942008000600011.
Bhat P, Sisler I, Collier AB. Exchange transfusion as treatment for rasburicase induced methemoglobinemia in a glucose-6-phosphate dehydrogenase deficient patient. Pediatr Blood Cancer 2008;51(4):568. DOI: 10.1002/pbc.21582.
George T, Shaikh A, Thomas L, Kundavaram AP. Severe methemoglobinemia due to insecticide poisoning. Indian J Crit Care Med 2014;18(2):113–114. DOI: 10.4103/0972-5229.126087.
