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Plasmapheresis in Severe Methemoglobinemia Following Naphthalene Ball Poisoning: A Case Report.

Authors :
Gangadhar C
Munavalli V
Sanketh SJ
Source :
The Journal of the Association of Physicians of India [J Assoc Physicians India] 2024 Sep; Vol. 72 (9), pp. 104-105.
Publication Year :
2024

Abstract

Naphthalene is a widely used industrial and household chemical in the form of mothballs, but it has rarely been an agent of poisoning worldwide. We describe a case of ingestional naphthalene poisoning with a good outcome after proper management. A 20-year-old boy with a history of seizure disorder and mental retardation presented with abdominal pain, vomiting, burning micturition, and blood in the urine for 2-3 days. On examination, it was found that he had ingested six to eight mothballs and presented 2 days later with hemolysis and methemoglobinemia. He was given intravenous methylene blue, N-acetylcysteine, and ascorbic acid, besides supportive treatment, but the condition did not improve. The patient then underwent plasmapheresis. After two sessions, he showed improvement in the form of decreasing hemolysis. Renal replacement therapy in the form of hemodialysis was performed. Gradually, his condition improved, and concurrent psychiatric assessment and treatment were also provided. The patient was discharged after 15 days.<br /> (© Journal of the Association of Physicians of India 2024.)

Details

Language :
English
ISSN :
0004-5772
Volume :
72
Issue :
9
Database :
MEDLINE
Journal :
The Journal of the Association of Physicians of India
Publication Type :
Academic Journal
Accession number :
39291529
Full Text :
https://doi.org/10.59556/japi.72.0624