Acute Kidney Injury Following Naphthalene (Mothball) Poisoning

Naphthalene is a widely available moth repellant in the Asian subcontinent. Toxicity can occur either accidentally or intentionally as a suicide attempt. An overdose can lead to a variety of clinical symptoms, including intravascular hemolysis, and can sometimes lead to life-threatening clinical sit...

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Main Authors: Piyush Mathur, Shalini Garg
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2023-01-01
Series:Saudi Journal of Kidney Diseases and Transplantation
Online Access:https://journals.lww.com/10.4103/1319-2442.394000
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author Piyush Mathur
Shalini Garg
author_facet Piyush Mathur
Shalini Garg
author_sort Piyush Mathur
collection DOAJ
description Naphthalene is a widely available moth repellant in the Asian subcontinent. Toxicity can occur either accidentally or intentionally as a suicide attempt. An overdose can lead to a variety of clinical symptoms, including intravascular hemolysis, and can sometimes lead to life-threatening clinical situations. A young male was admitted to our center with an alleged history of ingesting an unknown quantity of naphthalene balls (mothballs). He developed methemoglobinemia, intra-vascular hemolysis, anuria, and acute kidney injury (AKI), followed by cardiorespiratory arrest. He was treated successfully with intravenous methylene blue and dialysis. Naphthalene toxicity can lead to methemoglobinemia and intravascular hemolysis. This can result in AKI caused by pigment nephropathy.
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spelling doaj.art-5467423469b44976ad06354462606b132024-06-25T15:06:54ZengWolters Kluwer Medknow PublicationsSaudi Journal of Kidney Diseases and Transplantation1319-24422320-38382023-01-0134325926410.4103/1319-2442.394000Acute Kidney Injury Following Naphthalene (Mothball) PoisoningPiyush MathurShalini GargNaphthalene is a widely available moth repellant in the Asian subcontinent. Toxicity can occur either accidentally or intentionally as a suicide attempt. An overdose can lead to a variety of clinical symptoms, including intravascular hemolysis, and can sometimes lead to life-threatening clinical situations. A young male was admitted to our center with an alleged history of ingesting an unknown quantity of naphthalene balls (mothballs). He developed methemoglobinemia, intra-vascular hemolysis, anuria, and acute kidney injury (AKI), followed by cardiorespiratory arrest. He was treated successfully with intravenous methylene blue and dialysis. Naphthalene toxicity can lead to methemoglobinemia and intravascular hemolysis. This can result in AKI caused by pigment nephropathy.https://journals.lww.com/10.4103/1319-2442.394000
spellingShingle Piyush Mathur
Shalini Garg
Acute Kidney Injury Following Naphthalene (Mothball) Poisoning
Saudi Journal of Kidney Diseases and Transplantation
title Acute Kidney Injury Following Naphthalene (Mothball) Poisoning
title_full Acute Kidney Injury Following Naphthalene (Mothball) Poisoning
title_fullStr Acute Kidney Injury Following Naphthalene (Mothball) Poisoning
title_full_unstemmed Acute Kidney Injury Following Naphthalene (Mothball) Poisoning
title_short Acute Kidney Injury Following Naphthalene (Mothball) Poisoning
title_sort acute kidney injury following naphthalene mothball poisoning
url https://journals.lww.com/10.4103/1319-2442.394000
work_keys_str_mv AT piyushmathur acutekidneyinjuryfollowingnaphthalenemothballpoisoning
AT shalinigarg acutekidneyinjuryfollowingnaphthalenemothballpoisoning