Psychosis and Rodenticides: A Case Report

Objective: A poison can be any substance that can be taken through any means with net production of toxicity, which may result into death and coma as well. The evolution of rodenticides through history, witnesses the large-scale use of the first and the second-generation rodenticides those are commonly found with many of the household items meant for pest control. Psychosis is a mental health issue associated with episodes of hallucinations and delusions. This leads to the patient’s misinterpretation of the surrounding environment. Few literatures have been reported regarding the use of rodenticides in psychotic patients. Manifestations of rodenticide poisoning includes gastric irritations, flank pain, gastric distension etc. The management focus of rodenticide poisoning should be more prominently based on most recent updated guidelines and dose titration should be monitored on the laboratory outcomes. Monitoring is the key to remission.

Key message: Rodenticide poisoning in psychotic patient is rarely observed and the management procedures should be based on the corresponding details of the ingested product. Continuous monitoring is as necessary for patients to avoid interactions that are life threatening. Implementation of more concrete evidence based approaches is a need of the hour.