Rare case of endosulfan intoxication induced refractory status epilepticus & hyperkalemia

Endosulfan is a widely used insecticide that is associated with a high fatality rate in humans when ingested accidentally or with the aim of suicide. We are reporting a case of endosulfan poisoning with refractory status epilepticus (RSE) severe life threatening hyperkalemia with metabolic acidosis and acute renal failure successfully treated with Levetiracetam and emergency hemodialysis. We suggest that if acute repetitive seizures, especially in the rural areas, endosulfan intoxication should be considered when the etiology is uncertain even in the absence of any signs of intoxication.