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Chlorantraniliprole: An unusual insecticide poisoning in humans
Ajay Kumar Mishra1, Vignesh Kumar Chandiraseharan1, Nisha Jose1
1Department of General Medicine Unit II, Christian Medical College and Hospital, Vellore, Tamil Nadu, India.
Abstract:
A 26-year-old female presented with deliberate self-harm using chlorantraniliprole, an unknown substance in human toxicology. She developed symptomatic Mobitz Type I atrioventricular block during observation, for which a temporary pacemaker was inserted. She reverted to sinus rhythm after 48 h and was discharged. Although claimed to be nontoxic to humans, chlorantraniliprole, an insecticide, could cause conduction defects by activating ryanodine receptors. To the best of our knowledge, this is the first case of chlorantraniliprole poisoning reported in the medical literature.
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