Journal of Clinical Toxicology
Open Access

Subhash Paudel

Publications

• Case Report
  Methemoglobinemia and Uremia from an Unusual Poison
  Author(s): Arjun Sekar, Subhash Paudel, Siva P Sivakumar and Ashish VermaArjun Sekar, Subhash Paudel, Siva P Sivakumar and Ashish Verma
  
  Introduction: Naphthalene toxicity is an unusual form of poisoning and poses a diagnostic and therapeutic challenge due to its rare occurrence and complicated clinical course. Case Report: We report a case of naphthalene toxicity from non-accidental, non-suicidal ingestion of mothballs in a 56 year old male who presented with methemoglobinemia, hemolytic anemia and respiratory failure. He was treated with supportive management with blood transfusions, urinary alkalinization; hemodialysis for acute kidney injury and he also required noninvasive ventilation for hypoxemic respiratory failure. Discussion: The crucial aspect in the acute management of any poisoning is knowledge about its toxic manifestations, lethal dose and options for treatment including available antidotes. Mothball poisoning is rarely encountered in North America and awareness of its toxicity and treatm.. View More»
  DOI: 10.4172/2161-0495.1000217

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