Metaldehyde toxicity has been commonly reported in different species, including dogs, cats, horses, livestock and wildlife, but the authors are not aware of previously described cases in red foxes. A juvenile red fox (Vulpes vulpes) intoxicated with metaldehyde was presented and successfully treated, allowing it to be released back into the wild. Clinical signs, diagnostic test results, treatment ... [Show full abstract] and evolution for this case are described and a review made about metaldehyde intoxication. Red foxes are abundant native species in the UK and metaldehyde is still used as a mollusc control measure. This case report is written to provide more information about metaldehyde intoxication in this species.