A lethal dose of insight: A case report of acetamiprid and fipronil self-poisoning.

The management of insecticide poisoning is challenging due to the lack of specific antidotes and paucity of data on management. Clinical care often relies on the identification of toxic agents and the provision of supportive treatment. We present a case of a 21-year-old male who ingested 900 ml of an insecticide formulation containing acetamiprid (4 %) and fipronil (4 %) during a deliberate act of self-harm. The patient experienced severe complications, including seizures, respiratory failure, acute kidney injury, and hypertension. Despite these challenges, the patient ultimately recovered after prolonged intensive supportive care.