Imidacloprid poisoning.

Imidacloprid is newer systemic insecticide, a nicotine analogue, acts on the nervous system. Patient can present with variable manifestations like irritability, labored breathing, emaciation, twitching and delirium. Here we report a case presented with sever neuropsychiatric symptoms with respiratory failure following self ingestion of poison. Patient recovered with supportive and symptomatic treatment.