Roumieu S, Jouve A, Vieillard M, Jego L, Maurice F, Bagnères D, Bernard F, Frances Y, Rossi P
Service de médecine interne et gériatrie, CHU Nord, Assistance publique des Hôpitaux de Marseille, chemin des Bourrely, 13015 Marseille, France.
Service de médecine interne et gériatrie, CHU Nord, Assistance publique des Hôpitaux de Marseille, chemin des Bourrely, 13015 Marseille, France.
Rev Med Interne. 2015 Jun;36(6):423-5. doi: 10.1016/j.revmed.2014.05.008. Epub 2014 Jun 6.
Naphthalene ingestion is a rare cause of hemolysis.
We report a 33-year-old woman, originating from the Comoros, hospitalized for intense fatigue associated with delirium, fever and jaundice, three days after ritual ingestion of naphthalene. Biochemical parameters showed marked hemolysis. Outcome was favorable after red cells transfusion and hydratation with intravenous fluids.
Diagnostic work-up of unexplained hemolysis should include the search for toxic exposition. Naphthalene poisoning can present with diagnostic challenge for physicians.
萘摄入是溶血的罕见原因。
我们报告一名33岁来自科摩罗的女性，在按习俗摄入萘三天后，因伴有谵妄、发热和黄疸的极度疲劳而住院。生化指标显示明显溶血。经红细胞输注和静脉补液后情况好转。
不明原因溶血的诊断检查应包括寻找毒物接触史。萘中毒可能给医生带来诊断挑战。
