A 19-month-old child was admitted to a private hospital in an extremely critical condition after accidental ingestion of mosquito-repellent liquid from a newly opened refill bottle, with suspected aspiration into the lungs. According to the family, the child had likely ingested almost the entire contents of the bottle. A baby accidentally ingested mosquito-repellent liquid from a newly opened refill bottle (Unsplash) The child developed chemical pneumonitis, aspiration pneumonia, severe Acute Respiratory Distress Syndrome (ARDS), shock, acute kidney injury, and multi-organ dysfunction. The child required prolonged Pediatric Intensive Care Unit (PICU) care, advanced ventilation, inotropic support, and renal support. The oxygen levels remained dangerously low for a prolonged period despite intensive support. At one stage, survival with intact recovery appeared very difficult. There was also a phase when the clinical picture raised serious concern that irreversible lung damage or fibrotic lung changes might be setting in. Under the supervision of Dr Dhiren Gupta, along with the PICU team comprising Dr Suresh Gupta, Dr Anil Sachdeva, and Dr Neeraj Gupta, aggressive multidisciplinary intensive care and advanced rescue …