Acute intravascular hemolysis due to naphthalene toxicity: a case report

BACKGROUND: Naphthalene (mothball) is a commonly used deodorizer in the Indian subcontinent, including Sri Lanka. Though it is freely available around this country, poisoning has never been reported in the literature. Ingestion, either accidental or by deliberate self-harm, can occur due to its abun...

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Autores principales: Uthuman, A. A. A., Jayasinghe, C. S., Fernando, A. H. N.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2019
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6429769/
https://www.ncbi.nlm.nih.gov/pubmed/30898168
http://dx.doi.org/10.1186/s13256-018-1963-x
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author Uthuman, A. A. A.
Jayasinghe, C. S.
Fernando, A. H. N.
author_facet Uthuman, A. A. A.
Jayasinghe, C. S.
Fernando, A. H. N.
author_sort Uthuman, A. A. A.
collection PubMed
description BACKGROUND: Naphthalene (mothball) is a commonly used deodorizer in the Indian subcontinent, including Sri Lanka. Though it is freely available around this country, poisoning has never been reported in the literature. Ingestion, either accidental or by deliberate self-harm, can occur due to its abundance as well as its candy-resembling appearance. CASE PRESENTATION: A 33-year-old Sri Lankan woman presented to us 2 days after the self-ingestion of 15 naphthalene balls. She had features of intravascular hemolysis without features of pigment nephropathy or methemoglobinemia. She was symptomatically managed with blood transfusion and adequate hydration. CONCLUSION: Naphthalene ingestion can lead to severe intravascular hemolysis as well as methemoglobinemia. The resultant pigment nephropathy may also lead to acute kidney injury.
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spelling pubmed-64297692019-04-04 Acute intravascular hemolysis due to naphthalene toxicity: a case report Uthuman, A. A. A. Jayasinghe, C. S. Fernando, A. H. N. J Med Case Rep Case Report BACKGROUND: Naphthalene (mothball) is a commonly used deodorizer in the Indian subcontinent, including Sri Lanka. Though it is freely available around this country, poisoning has never been reported in the literature. Ingestion, either accidental or by deliberate self-harm, can occur due to its abundance as well as its candy-resembling appearance. CASE PRESENTATION: A 33-year-old Sri Lankan woman presented to us 2 days after the self-ingestion of 15 naphthalene balls. She had features of intravascular hemolysis without features of pigment nephropathy or methemoglobinemia. She was symptomatically managed with blood transfusion and adequate hydration. CONCLUSION: Naphthalene ingestion can lead to severe intravascular hemolysis as well as methemoglobinemia. The resultant pigment nephropathy may also lead to acute kidney injury. BioMed Central 2019-03-22 /pmc/articles/PMC6429769/ /pubmed/30898168 http://dx.doi.org/10.1186/s13256-018-1963-x Text en © The Author(s). 2019 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Case Report
Uthuman, A. A. A.
Jayasinghe, C. S.
Fernando, A. H. N.
Acute intravascular hemolysis due to naphthalene toxicity: a case report
title Acute intravascular hemolysis due to naphthalene toxicity: a case report
title_full Acute intravascular hemolysis due to naphthalene toxicity: a case report
title_fullStr Acute intravascular hemolysis due to naphthalene toxicity: a case report
title_full_unstemmed Acute intravascular hemolysis due to naphthalene toxicity: a case report
title_short Acute intravascular hemolysis due to naphthalene toxicity: a case report
title_sort acute intravascular hemolysis due to naphthalene toxicity: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6429769/
https://www.ncbi.nlm.nih.gov/pubmed/30898168
http://dx.doi.org/10.1186/s13256-018-1963-x
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