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Journal article
Hemolytic Crisis following Naphthalene Mothball Ingestion in a 21-Month-Old Patient with Glucose-6-Phosphate Dehydrogenase (G6PD) Deficiency
Case reports in pediatrics, v 2019, 1092575
2019
PMCID: PMC6607730
PMID: 31321110
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Naphthalene is an aromatic hydrocarbon that may be found in mothballs and deodorizers. Exposure can occur by ingestion or dermal absorption. We present a case of acute hemolysis requiring blood transfusion in a 21-month-old male with a history of glucose-6-phosphate dehydrogenase (G6PD) deficiency after ingestion of a naphthalene-containing mothball.
A 21-month-old male with G6PD deficiency presented to the emergency department three hours following an exploratory ingestion of a naphthalene-containing mothball. On arrival, the patient was tachycardic with normal blood pressure, temperature, respiratory rate, and oxygen saturation. Initial laboratory studies showed significant anemia with elevated reticulocyte count, blood urea nitrogen, total bilirubin, and lactate dehydrogenase. Haptoglobin level was low, and the methemoglobin level was unremarkable. The patient was admitted to the pediatric intensive care unit and underwent blood transfusion.
This case serves as a reminder that mothballs, a ubiquitous household item, can be hazardous when accessible to vulnerable children. Care should be taken to secure these products and prevent ingestion.
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Details
- Title
- Hemolytic Crisis following Naphthalene Mothball Ingestion in a 21-Month-Old Patient with Glucose-6-Phosphate Dehydrogenase (G6PD) Deficiency
- Creators
- Maricel Dela Cruz - Drexel UniversityMuhammad Masood Khalid - Drexel UniversityAhmed Mostafa - Drexel UniversityMuhammed Ershad - Drexel UniversityDavid Vearrier - Drexel UniversityRita McKeever - Drexel University
- Publication Details
- Case reports in pediatrics, v 2019, 1092575
- Publisher
- Wiley
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- College of Medicine
- Web of Science ID
- WOS:000493518700001
- Other Identifier
- 991019312458304721
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- Web of Science research areas
- Pediatrics