Oil Of Wintergreen (methyl salicylate) is a freely available rubefacient for topical pain relief. It is an infrequent cause of poisoning but with high mortality. It is available over-the-counter and may be purchased without a prescription or even precautionary labels like "poison" or "for external use only". It is uniformly fatal if not recognized and managed energetically. We herein report a case of intentional Wintergreen oil poisoning in a middle aged gentleman to bring to the fore the potentially fatal properties of the drug.
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