Authorities in Florida have arrested a 2-year-old girl’s father and another adult after the child’s death led to manslaughter charges. Police say the case centers on an alleged poisoning involving kratom pills and a failure to get urgent medical help when the toddler showed clear signs of distress.

According to investigators, the girl’s lips turned blue, she suffered a seizure and her breathing became abnormal after ingesting the pills. Police said neither adult called 911 or took the child to a hospital, despite the seriousness of her condition.

The arrests have put renewed attention on kratom, a substance that is sold in various forms and has been at the center of safety debates in the United States. In this case, the focus of the investigation is not only what the child consumed, but also the delay in seeking emergency care once the symptoms became severe.

The adults are now in custody as the Florida case moves through the legal system. Prosecutors will be tasked with proving the circumstances surrounding the toddler’s death, while the allegations remain subject to court proceedings.