Culture-Related: | Case 1 | Case 2 | Case 3 | Case 4

Case 2: Naphthalene ( moth-ball ) as insect-repellent (by Yeung, Chap-Yung)

Patient: 8 day old infant boy

Source: Hong Kong, 1985

Presenting features:
  Sudden jaundice after breast-feeding at home.
  Been observed in hospital for the first 7 days after birth for being G6PD deficient.

Relevant Investigations:
  High serum bilirubin, lowish hemoglobin and reticulocytes.

Diagnosis:
  Hemolytic jaundice.

Background:
  Mom had been informed of G6PD deficiency in baby and agents to avoid contact with baby.
  Repeated questioning revealed mom had put on an over-coat (previously stored with moth-balls) before this breast-feeding.

Progress:
  Phototherapy with good response

Lessons:
1) Naphthalene vapor is very potent in precipitating hemolysis in G6PD deficient subjects.
2) Moth-ball as insect-repellent is popularly used among Chinese.
3) Mother's clothings and blankets must be included onto list of materials to avoid contact with Naphthalene in G6PD deficient subjects.

Case 1 | Case 2 | Case 3 | Case 4