title: Severe haemolytic anaemia due to ingestion of naphthalene (mothball) containing coconut oil.
abstract: Naphthalene, a widely used industrial and household chemical, has rarely been an agent of poisoning worldwide. Severe haemolysis from naphthalene poisoning is rare and can be a challenge to clinicians. We report a 22-year-old female, who accidentally ingested naphthalene mixed coconut oil and got admitted with recurrent vomiting, headache and passage of dark urine. Severe intravascular haemolysis with hypotension and neutrophilic leukocytosis was detected. She was treated with red blood cell transfusions, intravenous saline infusion and ascorbic acid.
authors.affiliation: Department of Medicine, Shaheed Suhrawardy Medical College, Dhaka, Bangladesh.
authors.forename: Md Mujibur
authors.initials: MM
authors.lastname: Rahman
authors.forename: Syed Ghulam
authors.initials: SG
authors.lastname: Mogni Mowla
authors.forename: Abdur
authors.initials: A
authors.lastname: Rahim
authors.forename: Fazle Rabbi
authors.initials: FR
authors.lastname: Chowdhury
authors.forename: Sharmin
authors.initials: S
authors.lastname: Jahan
authors.forename: Mohammad Nazmul
authors.initials: MN
authors.lastname: Hasan
mesh_terms: D000284:Administration, Oral; D000743:Anemia, Hemolytic / Q000139:chemically induced* / Q000175:diagnosis / Q000628:therapy; D001205:Ascorbic Acid / Q000008:administration & dosage; D000074263:Coconut Oil; D017707:Erythrocyte Transfusion; D005260:Female; D005947:Glucose / Q000008:administration & dosage; D006456:Hemoglobinuria; D006461:Hemolysis; D006801:Humans; D007022:Hypotension / Q000139:chemically induced / Q000175:diagnosis; D007262:Infusions, Intravenous; D008708:Methemoglobinemia / Q000139:chemically induced / Q000175:diagnosis / Q000628:therapy; D009281:Naphthalenes / Q000008:administration & dosage / Q000506:poisoning*; D010938:Plant Oils / Q000008:administration & dosage / Q000506:poisoning*; D011041:Poisoning / Q000188:drug therapy; D012720:Severity of Illness Index; D016896:Treatment Outcome; D055815:Young Adult
chemical_list: D009281:Naphthalenes; D010938:Plant Oils; C031721:naphthalene; D005947:Glucose; D001205:Ascorbic Acid; D000074263:Coconut Oil