@article{ref1,
title="Death from Naphthalene Poisoning Manifesting as Toxic Hepatitis: An Autopsy Case",
journal="Korean journal of legal medicine (2014)",
year="2017",
author="Choi, Jinhyuk and Park, Seong-Hwan and Park, Min-Jee and Jeon, Seok-Hoon",
volume="",
number="",
pages="137-140",
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.<p /><p>Language: en</p>",
language="en",
issn="2383-5702",
doi="10.7580/kjlm.2017.41.4.137",
url="http://dx.doi.org/10.7580/kjlm.2017.41.4.137"
}