Acute Kidney Injury as a Rare Complication of Prallethrin Poisoning (“All-Out”) in a Child

Anjana KS1, Raghunath CN1, *, Arvind C2
1 Department of Pediatrics, Sagar Hospitals, Bengaluru, Karnataka, India
2 Department of Nephrology, Sagar Hospitals, Bengaluru, Karnataka, India

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© 2019 KS et al.

open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

* Address correspondence to this author at the Department of Pediatrics, Sagar Hospitals, Bengaluru, Karnataka, India; E-mail:


Pyrethroids are widely used as commercial and domestic insecticides due to their high effectiveness and low toxicity in humans and in medicine for the topical treatment of scabies and head lice. Prallethrin is a structural derivative of naturally occurring pyrethrin and active ingredient in liquid mosquito repellents. Acute human poisoning from exposure or ingestion of pyrethroids is rare because of poor dermal absorption and rapid metabolism with little tissue accumulation. Here we present a case of accidental Prallethrin poisoning(“ALL –OUT”, a liquid mosquito repellent) in a five year old child who had immediate complication as hypovolemic shock with aspiration pneumonia and delayed complications like acute kidney injury, with elevated liver enzymes, requiring renal replacement therapy and had an uneventful recovery.

Keywords: Prallethrin, Poisoning, Insecticide, Paresthesias, Acute kidney injury, Peritoneal dialysis.