A fatal case of methomyl poisoning leading to fulminant hepatic failure

Methomyl is highly toxic carbamate poison which can cause muscarinic, nicotinic and central nervous system side-effects. It has also been associated with acute pancreatitis, as well as hepatic and renal dysfunction. Here we attempt to describe a case of 24-year-old male with suicidal ingestion of methomyl poisoning who developed fulminant hepatic failure in the absence of any evidence for acute viral or ischemic hepatitis, which later proved to be fatal. To-date this is the first reported case of methomyl associated fulminant hepatotoxicity. However further studies are warranted to closely study the association of liver failure with methomyl toxicity.