cartap hydrochloride poisoning mimicking organophosphorus poisoning

Background: cartap is a class 4 pesticide and categorized by the insecticide resistance action committee (irac) as safe and non-toxic to people. the main routes of exposure include ingestion, skin contact, and eye contact.case presentation: a 35-year-old man, a bus driver from south kerala, was bought to the emergency department with history of consumption of cartap hydrochloride after two hours of poisoning.results: all the necessary measures were taken to prevent further exposure to the poison. patient was intubated and mechanically ventilated. the patient’s condition began to deteriorate gradually, culminating in multiorgan dysfunction and eventual death on the 7th day of hospitalization, with no restoration of consciousness.conclusion:  this report enables medical professionals to identify and manage an uncommon poisoning that causes lethal toxicity.