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    Naphthalene poisoning

    Moth balls; Moth flakes; Camphor tar

    Naphthalene is a white solid substance with a strong smell. Poisoning from naphthalene destroys or changes red blood cells so they cannot carry oxygen.

    This is for information only and not for use in the treatment or management of an actual poison exposure. If you have an exposure, you should call your local emergency number (such as 911) or the National Poison Control Center at 1-800-222-1222.

    Poisonous Ingredient

    Naphthalene

    Where Found

    • Moth repellent
    • Toilet bowl deodorizers

    Symptoms

    Stomach problems may not occur until 2 days after coming in contact with the poison. They can include:

    • Abdominal pain
    • Nausea
    • Vomiting
    • Diarrhea

    The patient may also have a fever. Over time, the following additional symptoms may occur:

    • Coma
    • Confusion
    • Convulsions
    • Drowsiness
    • Headache
    • Increased heart rate (tachycardia)
    • Low blood pressure
    • Low urine output (may stop completely)
    • Pain when urinating (may be blood in the urine)
    • Shortness of breath
    • Yellowing of skin (jaundice)

    NOTE: Persons with a condition called glucose-6-phosphate dehydrogenasedeficiency are more vulnerable to the effects of napthalene.

    Before Calling Emergency

    Determine the following information:

    • Patient's age, weight, and condition
    • Name of the product (ingredients and strengths, if known)
    • Time it was swallowed
    • Amount swallowed

    Poison Control

    If you suspect possible poisoning, seek emergency medical care immediately. Call your local emergency number (such as 911).

    The National Poison Control Center (1-800-222-1222) can be called from anywhere in the United States. This national hotline number will let you talk to experts in poisoning. They will give you further instructions.

    This is a free and confidential service. All local poison control centers in the United States use this national number. You should call if you have any questions about poisoning or poison prevention. It does NOT need to be an emergency. You can call for any reason, 24 hours a day, 7 days a week.

    Take the container with you to the hospital, if possible.

    See: Poison control center - emergency number

    What to Expect at the Emergency Room

    The health care provider will measure and monitor the patient's vital signs, including temperature, pulse, breathing rate, and blood pressure. Symptoms will be treated as appropriate.

    Blood and urine tests will be done.

    Persons who have recently eaten many mothballs containing napthelene may be forced to vomit.

    Other treatments may include:

    • Activated charcoal
    • Blood transfusion (rarely)
    • Fluids through a vein (by I.V.)
    • A medicine called methylene blue if methemoglobinemia is present

    Outlook (Prognosis)

    It can take several weeks or longer to recover from some of the poisonous effects.

    If the patient has convulsions and coma, the outlook is not good.

    References

    Ford MD, Delaney KA, Ling LJ, Erickson T, eds. Clinical Toxicology. 1st ed. Philadelphia, Pa: Saunders Elsevier; 2001:chap XX.

    Cantilena LR Jr. Clinical toxicology. In: Klaassen CD, ed. Casarett and Doull’s Toxicology: The Basic Science of Poisons. 7th ed. New York, NY: McGraw-Hill; 2008:chap 32.

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          Self Care

            Tests for Naphthalene poisoning

              Review Date: 8/3/2011

              Reviewed By: Eric Perez, MD, Department of Emergency Medicine, St. Luke's-Roosevelt Hospital Center, New York, NY. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

              The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
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