Suicide with Endosulfan: Case Report

The case is a 17 year old girl, case of suicidal attempt by endosulfan, which had interactable convulsions and finally developed cardiac arrest. Endosulfan is a chlorinated insecticide that causes CNS hyperstimulation state. They are absorbed from GI, skin or respiratory tract and lead to nausea, vomiting, paresthesia, giddiness, convulsion, coma and respiratory failure. Hepatic, renal and myocardial toxicity, agranulocytosis, aplastic anemia and skin reaction have also been reported. Mortality and morbidity rates are high and there is no special treatment for this toxin. Supportive cares for these patients include decontamination of skin, gastric lavage, active charcoal, lidocaine for arrhythmia and treatment of status epilepticus.