Death from Naphthalene Poisoning Manifesting as Toxic Hepatitis: An Autopsy Case / 대한법의학회지
Korean Journal of Legal Medicine
; : 137-140, 2017.
Article
en En
| WPRIM
| ID: wpr-67294
Biblioteca responsable:
WPRO
ABSTRACT
Suicide through naphthalene poisoning is rare. Prolonged hemolytic anemia and hemoglobinuria are typical symptoms of naphthalene poisoning. We report an unusual case of naphthalene poisoning. The decedent was an 87-year-old female who intentionally ingested over 5 g of naphthalene. After more than 5 hours, she was found in a drowsy state. During initial examination, hemoglobin level and urine test results were normal. Aspartate aminotransferase and alanine aminotransferase levels were elevated (854 and 1,197 U/L, respectively). Metabolic acidosis was found on arterial blood gas analysis. The patient was treated conservatively by administration of activated charcoal, calcium gluconate, insulin, and glucose. However, the patient died after 1 day of hospital admission. On autopsy, the liver showed toxic hepatitis with confluent necrosis. Naphthalene concentrations in the blood and gastric contents were 5.4 and 5.8 mg/L, respectively. In conclusion, the decedent ingested naphthalene and died due to liver failure without hemolysis.
Palabras clave
Texto completo:
1
Base de datos:
WPRIM
Asunto principal:
Intoxicación
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Aspartato Aminotransferasas
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Autopsia
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Suicidio
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Acidosis
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Análisis de los Gases de la Sangre
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Gluconato de Calcio
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Carbón Orgánico
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Fallo Hepático
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Intención
Límite:
Aged
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Aged80
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Female
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Humans
Idioma:
En
Revista:
Korean Journal of Legal Medicine
Año:
2017
Tipo del documento:
Article