title: Naphthalene poisoning manifesting as hemoglobinuria.
abstract: Reddish black discoloration of urine in absence of red blood cells (RBCs) can be a manifestation of hemoglobinuria or myoglobinuria. We report a patient who was admitted for persistent vomiting. On 2(nd) day of admission, his urine turned reddish black. The patient then revealed that he had ingested mothballs 1 day back to commit suicide. The patient was managed conservatively with intravenous (IV) fluids and antiemetics. Mothballs are rarely reported as a suicidal agent and most cases are related to accidental exposure of children while playing. IV hemolysis is also reported with mothball ingestion. Our patient quickly became normal within 24 h and there was no residual organ damage.
authors.affiliation: Department of Medicine, Rajendra Prasad Government Medical College, Tanda, Himachal Pradesh, India.
authors.forename: Vivek
authors.initials: V
authors.lastname: Chauhan
authors.affiliation: Department of Medicine, Rajendra Prasad Government Medical College, Tanda, Himachal Pradesh, India.
authors.forename: Rajesh
authors.initials: R
authors.lastname: Sharma
authors.affiliation: Department of Medicine, Rajendra Prasad Government Medical College, Tanda, Himachal Pradesh, India.
authors.forename: Kailashnath
authors.initials: K
authors.lastname: Sharma
authors.affiliation: Department of Medicine, Rajendra Prasad Government Medical College, Tanda, Himachal Pradesh, India.
authors.forename: Gurudutt
authors.initials: G
authors.lastname: Sharma
authors.affiliation: Department of Medicine, Rajendra Prasad Government Medical College, Tanda, Himachal Pradesh, India.
authors.forename: Sandhu
authors.initials: S
authors.lastname: Jitender
authors.affiliation: Department of Medicine, Rajendra Prasad Government Medical College, Tanda, Himachal Pradesh, India.
authors.forename: Vaneet
authors.initials: V
authors.lastname: Jearth
keywords: Hepatic failure; IV hemolysis; methemoglobinemia; mothball; myoglobinuira; renal failure; suicide