Acute Emamectin Benzoate Poisoning- A Fatal Case Report.

Emamectin benzoate is a broad-spectrum insecticide for vegetables having wide margin of safety as reported in animal studies, due to its low gamma-aminobutyric acid receptor affinities and very poor penetration to the blood-brain barrier. Not a single case has been reported about fatal human exposure in India. This case highlights about 40-year-old man who succumbed in intensive care unit even after all supportive treatment as well as with Flumazenil and Lipid emulsion. Emamectin benzoate is a semisynthetic avermectin, a class of natural fermentation products of Streptomyces avermitilis (soil microorganism).