Chauhan Vivek, Sharma Rajesh, Sharma Kailashnath, Sharma Gurudutt, Jitender Sandhu, Jearth Vaneet
Department of Medicine, Rajendra Prasad Government Medical College, Tanda, Himachal Pradesh, India.
Toxicol Int. 2014 Sep-Dec;21(3):314-5. doi: 10.4103/0971-6580.155379.
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 2(nd) 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.
在无红细胞的情况下尿液呈红黑色可能是血红蛋白尿或肌红蛋白尿的表现。我们报告一名因持续性呕吐入院的患者。入院第二天，他的尿液变成了红黑色。该患者随后透露，他1天前吞食卫生球企图自杀。患者接受了静脉输液和止吐药的保守治疗。卫生球作为自杀药物鲜有报道，大多数病例与儿童玩耍时意外接触有关。也有吞食卫生球导致静脉溶血的报道。我们的患者在24小时内迅速恢复正常，且无残留器官损伤。
