Acetamiprid is an insecticide that can be toxic if ingested by humans.
Acetamiprid is a neonicotinoid (nicotine-like) insecticide. It interferes with neural transmissions in invertebrates by mimicking the action of neurotransmitters, resulting in CNS hyperstimulation.
Many poisonings are in agricultural settings with suicidal intent.
Clinical features:
(1) severe nausea and vomiting
(2) altered level of consciousness, which can progress to coma
(3) apnea and/or dyspnea
(4) mydriasis
(5) multi-organ failure requiring ventilatory and inotropic support
(6) seizures
Laboratory features:
(1) high-anion gap metabolic acidosis with lactic acidosis
(2) turquoise-colored urine
(3) hypokalemia
(4) hypocalcemia
(5) hypoxemia
Risk factors for death:
(1) large acetamiprid dose
(2) delay in presentation
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