Naphthalene

Background

  • Common ingredients in toilet bowl deodorizers and moth repellants (i.e. mothballs)

Mechanism of toxicity

Clinical Features

Differential Diagnosis

Evaluation

  • Clinical history
  • Mothball smell around mouth
  • Naphthalene is radiopaque
  • Serum levels are not available

Management

  • Support airway and breathing
  • Treat coma and seizures as needed
  • Treat hemolysis with IV hydration and alkalinization of urine
  • Gut emptying and activated charcoal are usually not indicated

Disposition

References

  • Olson, K. Poisoning and Drug Overdose, 1999