Amitraz poisoning: A case report of rare pesticide poisoning from Nepal

Introduction and importance Amitraz poisoning is a rare poisoning in agricultural and developing countries like Nepal. This case report highlights the clinical presentation and management of Amitraz poisoning. Case presentation A 40-year-old male presented with history of vomiting and epigastric pain after suicidal ingestion of 30 mL of Amitraz (12.5% W/V). Symptoms were similar of α1 and α2 agonist including bradycardia, miosis, and hypotension. Patient required mechanical ventilation support and was given symptomatic treatment. Clinical discussion Amitraz poisoning is rare but might be misdiagnosed for organophosphate and carbamates poisoning. All symptoms are explained by its α1 and α2 receptor agonist action. Conclusion There is no antidote for this poisoning and treatment is solely based on symptomatic care. Normally symptoms resolve in 24–48 hours.