Naphthalene Poisoning Manifesting as Hemoglobinuria



Hepatic failure, IV hemolysis, mothball, myoglobinuira, methemoglobinemia, renal failure, suicide


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 2nd 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.


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Weintraub E, Gandhi D, Robinson C. Medical complications due to mothball abuse. South Med J 2000;93:427"‘9.

Sillery JJ, Lichenstein R, Barrueto F Jr, Teshome G. Hemolytic anemia induced by ingestion of paradichlorobenzene mothballs.Pediatr Emerg Care 2009;25:252"‘4.

Santucci K, Shah B. Association of naphthalene with acute hemolytic anemia. Acad Emerg Med 2000;7:42"‘7.

Chugh KS, Singhal PC, Sharma BK, Mahakur AC, Pal Y, Datta BN, et al. Acute renal failure due to intravascular hemolysis in the North Indian patients. Am J Med Sci 1977;274:139"‘46.

Melzer"‘Lange M, Walsh"‘Kelly C. Naphthalene"‘induced hemolysis in a black female toddler deficient in glucose"‘6"‘phosphate dehydrogenase. Pediatr Emerg Care 1989;5:24"‘6.



How to Cite

Chauhan, V., Sharma, R., Sharma, K., Sharma, G., Jitender, S., & Jearth, V. (2018). Naphthalene Poisoning Manifesting as Hemoglobinuria. Toxicology International, 21(3), 314–315. Retrieved from