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Acute ®Confidor (imidacloprid-N-methyl pyrrolidone) insecticides intoxication with mimicking cholinergic syndrome

Department of Medicine, Division of Nephrology, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan, ymhung{at}isca.vghks.gov.tw

Kathryn H Meier

San Francisco Division, California Poison Control at San Francisco General Hospital, University of California, San Francisco, USA

Confidor, consisting of two major components - imidacloprid and the solvent N-methyl pyrrolidone is a relatively new class of insecticide. Reports of acute overdose or adverse effects after human exposure have been few, despite wide usage. We report a case of acute confidor intoxication with mimicking cholinergic syndrome, the patient ultimately dying of nosocominal pneumonia. Patients ingesting large volumes of imidacloprid-N-methyl pyrrolidone insecticide formulations require close observation and supportive treatment.

Key Words: Confidor • imidacloprid • N-methyl pyrrolidone • poisoning

Toxicology and Industrial Health, Vol. 21, No. 3-4, 137-140 (2005)
DOI: 10.1191/0748233705th217oa


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