Acute respiratory distress after metofluthrin insecticide ingestion in a 19-month-old girl

Metofluthrin is a volatile pyrethroid insecticide. Despite being widely used as safe household insecticide, it could cause severe systemic symptoms. A 19-month-old girl was taken to the emergency department after ingesting 1 mL of mosquito repellent containing metofluthrin. After arrival, developed respiratory distress, which worsened progressively despite administration oxygen with nebulized salbutamol and budesonide. Additionally, she underwent application high-flow nasal cannula, activated charcoal steroids. Her dyspnea gradually improved, thus discharged on day 4 oral prednisolone. All medications were discontinued 10 days discharge without any complication. Respiratory distress can develop ingestion even small amount Symptomatic adjunctive steroid therapies be effective therapeutic options. Key Words: Child; Insecticides; Poisoning; Pyrethrins; Insufficiency