TY  - JOUR
PY  - 2017//
TI  - Death from Naphthalene Poisoning Manifesting as Toxic Hepatitis: An Autopsy Case
JO  - Korean journal of legal medicine (2014)
A1  - Choi, Jinhyuk
A1  - Park, Seong-Hwan
A1  - Park, Min-Jee
A1  - Jeon, Seok-Hoon
SP  - 137
EP  - 140
VL  - 
IS  - 
N2  - 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>
LA  - en
SN  - 2383-5702
UR  - http://dx.doi.org/10.7580/kjlm.2017.41.4.137
ID  - ref1
ER  -