Abstract

A CASE REPORT ON MOSQUITO REPELLENT PYRETHROID POISONING

Sameera Fatima*, Raheem Unissa, Umme Aiman Rafai and Jagdesh Kumar

ABSTRACT

Background: A 25-year-old female presented with a complex medical condition following alleged ingestion of mosquito repellent containing pyrethroids. This case highlights the multifaceted nature of pyrethroid poisoning and its severe systemic effects. The patient ingested Good Night liquid, a pyrethroid-based mosquito repellent. Initial supportive treatment was followed by sudden onset of shortness of breath, hypotension, and transfer to a local hospital where inotropic support and oxygen therapy were initiated. Despite these measures, her condition worsened, necessitating transfer to our facility for advanced care. Upon admission, she exhibited symptoms consistent with moderate-grade intermittent fever, right-sided chest pain, and severe
cardiovascular and respiratory distress. Vital signs revealed a pulse rate of 110/min, non-recordable blood pressure, and a temperature of 97°F, with supplemental oxygen required to maintain saturation. Clinical examination indicated basal crepitation’s in the lungs, an EF of 40% on 2D echocardiography, and high NT-proBNP levels (>30,000 She was subsequently transferred from the ICU to general ward This case underscores the severe complications associated with pyrethroid poisoning, including cardiogenic shock and respiratory failure. Early recognition and comprehensive management are crucial for improving outcomes in such toxicological emergencies.

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