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Year : 2011  |  Volume : 43  |  Issue : 4  |  Page : 469--471

High anion gap refractory metabolic acidosis as a critical presentation of endosulfan poisoning

Raj Kumar Sharma, Anupama Kaul, Anurag Gupta, Dharmendra Bhadauria, Narayan Prasad, Apoorva Jain, M Gurjar, Bhaskar P Rao 
 Department of Nephrology and Critical Care Medicine, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, India

Correspondence Address:
Dharmendra Bhadauria
Department of Nephrology and Critical Care Medicine, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow
India

Organochloride insecticides are chlorinated cyclic hydrocarbons. One of such insecticides is endosulfan (6,7,8,9,10-10 hexachloro 1,5,5a,6,9,9a-hexahydro-6-methano-2,4,3-hexadithioxanthiep in 3-oxide) and it has been widely used in agriculture since 1960. The uncontrolled use of these compounds in developing countries has resulted in the deaths of animals and humans. Characteristic clinical signs following acute exposure are indicative of CNS disturbances or overstimulation. Mortality and morbidity rates are high and there is no specific antidote. We present an uncommon presentation of endosulfan poisoning in a 32-year-old male with high anion gap severe refractory metabolic acidosis. The patient was treated with continuous renal replacement therapy and was salvaged. Till date, there is no case report from India for endosulfan poisoning with severe metabolic acidosis and hypotension. Through this case report, we emphasize the role of continuous renal replacement therapy as a rescue therapy for endosulfan poisoning with severe refractory metabolic acidosis and hypotension, even though it is a non dialyzable poison.


How to cite this article:
Sharma RK, Kaul A, Gupta A, Bhadauria D, Prasad N, Jain A, Gurjar M, Rao BP. High anion gap refractory metabolic acidosis as a critical presentation of endosulfan poisoning.Indian J Pharmacol 2011;43:469-471


How to cite this URL:
Sharma RK, Kaul A, Gupta A, Bhadauria D, Prasad N, Jain A, Gurjar M, Rao BP. High anion gap refractory metabolic acidosis as a critical presentation of endosulfan poisoning. Indian J Pharmacol [serial online] 2011 [cited 2019 Sep 20 ];43:469-471
Available from: http://www.ijp-online.com/article.asp?issn=0253-7613;year=2011;volume=43;issue=4;spage=469;epage=471;aulast=Sharma;type=0