A cluster of patients with tetramethylenedisulfotetramine (TETS) intoxication was reported in
Thailand. Two siblings, a-six-month-old boy and a-four-year-old girl, and their domestic dogs presented with
status epilepticus within 10 minutes after ingesting milk prepared from the same tin container of milk powder.
Although the cases showed normal neurodevelopment at one-year follow-up, physicians should be informed of
this lethal neurotoxic agent, especially in an era of terroristic activity.

Keywords: Bridged compounds, Infant formula, Milk, Neurotoxicity syndromes, Status epilepticus