Acute Poisoning Due to an Intentional Overdose of 2,4-Dichlorophenoxyacetic Acid

Ethyl ester, chemically known as 2,4-dichlorophenoxyacetic acid (2,4-D), is a widely-used herbicide. It is recognized by the World Health Organization (WHO) as a Class II moderately hazardous herbicide, and its accidental or intentional ingestion can lead to multiorgan dysfunction and death. Overlap in presenting symptoms to other chemical poisonings makes it crucial to have a high clinical suspicion for this poisoning diagnosis. Herein, we present a case of an intentional overdose of 2,4-D and highlight the clinical presentation and treatment measures used.