Naphthalene Induced Hemolysis With Acute Kidney Injury in a g6pd Deficient Boy

Md. Nazrul Islam, Abu Saleh Ahmed, Mohammad Ehasun Uddin Khan, H. Rahman, Gm Hafizur Rahman, A. Anwar, Md Dilder Hossain Badal, Amanur Rasul Md Faisal, Mohammad Ashikur Rahman Khan, Mahnaz Islam Moitry
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引用次数: 0

Abstract

Naphthalene is a chemical substance which is widely used as moth repellent, insecticide and deodorizer. Naphthalene mothballs are potent hemolytic agents specially for pediatric group and Glucose 6 phosphate dehydrogenase (G6PD) deficient individuals. Our patient, a 14-year-old boy got admitted in our institution with progressive pallor, jaundice, hematuria and oliguria. He used to chew naphthalene mixed flavored raw rice for the last six months. On investigation he was found to have features of intravascular hemolysis and AKI necessitating hemodialysis with blood transfusion. His G6PD activity was below normal. After seven sessions of Hemodialysis (HD) his renal function recovered and discharged accordingly. One month post discharge follow up was normal. J Dhaka Med Coll. 2021; 29(1): 123-126
萘致溶血伴g6pd缺陷男孩急性肾损伤
萘是一种广泛用作驱虫剂、杀虫剂和除臭剂的化学物质。萘樟脑丸是一种有效的溶血剂,特别适用于儿童组和葡萄糖6磷酸脱氢酶(G6PD)缺乏的个体。我们的病人是一名14岁的男孩,因进行性苍白、黄疸、血尿和少尿而入院。在过去的6个月里,他一直在嚼掺有萘的生米。在调查中发现他有血管内溶血和AKI的特征,需要血液透析和输血。他的G6PD活性低于正常。经7次血液透析(HD)治疗,肾功能恢复,出院。出院后1个月随访正常。达卡医学院,2021;29 (1): 123 - 126
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