Acute naphthalene poisoning following the non-accidental ingestion of mothballs
Ingestional naphthalene mothball poisoning leading to prolonged haemolysis and methaemoglobinaemia can present with diagnostic and therapeutic challenges. A 19-year-old woman ingested 12 mothballs, and presented two days later with haemolysis and methaemoglobinaemia. She was treated with red blood c...
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Published in | Singapore medical journal Vol. 50; no. 8; p. e298 |
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Main Authors | , , |
Format | Journal Article |
Language | English |
Published |
Singapore
01.08.2009
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Subjects | |
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Abstract | Ingestional naphthalene mothball poisoning leading to prolonged haemolysis and methaemoglobinaemia can present with diagnostic and therapeutic challenges. A 19-year-old woman ingested 12 mothballs, and presented two days later with haemolysis and methaemoglobinaemia. She was treated with red blood cell transfusions, intravenous methylene blue, N-acetylcysteine and ascorbic acid. Continuous venovenous haemofiltration was conducted for 45 hours. Haemolysis with anaemia and methaemoglobinaemia persisted even after five days post-ingestion. Clinical and biochemical parameters improved. We describe a case of ingestional naphthalene poisoning with a good outcome after treatment. |
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AbstractList | Ingestional naphthalene mothball poisoning leading to prolonged haemolysis and methaemoglobinaemia can present with diagnostic and therapeutic challenges. A 19-year-old woman ingested 12 mothballs, and presented two days later with haemolysis and methaemoglobinaemia. She was treated with red blood cell transfusions, intravenous methylene blue, N-acetylcysteine and ascorbic acid. Continuous venovenous haemofiltration was conducted for 45 hours. Haemolysis with anaemia and methaemoglobinaemia persisted even after five days post-ingestion. Clinical and biochemical parameters improved. We describe a case of ingestional naphthalene poisoning with a good outcome after treatment. |
Author | Poulose, V Lim, H C Tan, H H |
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BackLink | https://www.ncbi.nlm.nih.gov/pubmed/19710964$$D View this record in MEDLINE/PubMed |
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SubjectTerms | Acetylcysteine - therapeutic use Adult Anemia, Hemolytic - diagnosis Anemia, Hemolytic - etiology Ascorbic Acid - therapeutic use Erythrocyte Transfusion Female Hemolysis Humans Methemoglobinemia - diagnosis Methylene Blue - therapeutic use Naphthalenes - poisoning Poisoning - therapy Suicide, Attempted Time Factors Treatment Outcome |
Title | Acute naphthalene poisoning following the non-accidental ingestion of mothballs |
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