A 29-year-old woman was admitted to the Rouen University Hospital for
attempted suicide by ingestion of a carbamate insecticide (Temik G (R)
, containing 10% aldicarb). Cardio-respiratory arrest occurred at the
second hour and acute necrotic hemorrhagic pancreatitis on the second
day. Further evolution was uneventful, and the patient was discharged
after 43 days. Carbamate intoxication was confirmed by high urinary al
dicarb metabolite concentrations. Pseudocholinesterase levels took 77
days to return to normal. Carbamate pesticides share the same pancreat
ic risk as organophosphorus pesticides, and should be monitored simila
rly.