A Rare Case of Cartap Poisoning

Cartap, an analogue of nereistoxin, is a neurotoxic substance isolated from the marine annelid Lumbriconereis heteropoda. It causes neuromuscular blockade and is commonly used low toxicity insecticide in many parts of India. Only two cases of cartap poisoning has been reported from India. We hereby report a 46 year old farmer, who consumed cartap with alcohol, presenting with history of generalized tonic clonic seizure, nausea & vomiting. He improved with supportive measures and was discharged subsequently.