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Background: 2,4 Dimethyl amine is a selective herbicide. It is widely used as weed killer.
Case report: We report case of ingestion of 2,4 dimethyl amine herbicide. The patient went to primary health center where they induced vomiting with salt water and referred KIMS, Hubballi for further management. He was treated with stomach wash and alkaline diuresis. 24 hours after hospital admission he developed multilobar pneumonia secondary to aspiration. On day 4 of admission he developed inferior wall myocardial infarction, he was thrombolysis with streptokinase and he improved symptomatically. Coronary angiogram showing normal coronaries and he was discharged.
Discussion: 2,4 dimethyl amine are most commonly used herbicide due to emerging resistance to commonly used herbicides like paraquat and glyphosate. The initial clinical features of poisoning similar to alcohol, sedative drugs or aromatic chlorinated hydrocarbons making it difficult to suspect these poison. It is important to identify the compound and initiate proper treatment. Correct diagnosis and early initiation of forced alkaline diuresis and save the life of the patient.
Conclusion: 2,4 dimethyl amine poisoning carries high mortality and morbidity. Initial anticipation of complications and early treatment can save the patient.
