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Death from Naphthalene Poisoning Manifesting as Toxic Hepatitis: An Autopsy Case / 대한법의학회지
Korean Journal of Legal Medicine ; : 137-140, 2017.
Artigo em Inglês | WPRIM | ID: wpr-67294
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.
Assuntos

Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Intoxicação / Aspartato Aminotransferases / Autopsia / Suicídio / Acidose / Gasometria / Gluconato de Cálcio / Carvão Vegetal / Falência Hepática / Intenção Limite: Idoso / Aged80 / Feminino / Humanos Idioma: Inglês Revista: Korean Journal of Legal Medicine Ano de publicação: 2017 Tipo de documento: Artigo

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Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Intoxicação / Aspartato Aminotransferases / Autopsia / Suicídio / Acidose / Gasometria / Gluconato de Cálcio / Carvão Vegetal / Falência Hepática / Intenção Limite: Idoso / Aged80 / Feminino / Humanos Idioma: Inglês Revista: Korean Journal of Legal Medicine Ano de publicação: 2017 Tipo de documento: Artigo