Acetamiprid is a type of neonicotinoid that belongs to the new class of insecticides. It is fatally toxic to insects by acting as an agonist to nicotinic acetylcholine receptors. Cases with neonicotinoids including acetamiprid poisoning in humans were reported around the world. Only one case with acetamiprid poisoning associated with severe adverse effects has been described from Sri Lanka. Serious side effects will occur if it is consumed in excess amount. Here, we described a case of acetamiprid poisoning in a man who developed severe lactic acidosis, myocardial suppression, hyperglycemia, and intestinal obstruction following accidental intake of acetamiprid insecticide. The patient was managed conservatively as there is no specific management mentioned in the literature.

No abstract

No abstract available

No abstract available

Background:Nationwide lockdown due to COVID pandemic held in Sri Lanka last year for about six months (February -July 2020) due to the COVID-19 pandemic. Patients with chronic illness like diabetes mellitus have faced difficulties and their routine care was compromised. The impact on diabetic care and determining factors during that lockdown period have not yet been examined.