DOI: 10.1002/ams2.70136 ISSN: 2052-8817

A Case of Acute Poisoning Due to Ortho‐Dichlorobenzene Diagnosed Using Biological Volatile Gas Analysis

Eiji Kawamoto, Kazuo Umezawa, Yoshika Sekine, Atsuya Hane, Ryo Esumi, Yohei Ieki, Satomi Asai, Takeshi Saito, Keisuke Jinno, Yasuhiro Kuroda, Hiroshi Imai

ABSTRACT

Background

“Human skin gas,” the trace amounts of bio‐volatile gases emitted from the surface of human skin, contains a variety of biological information and can be used in diagnosing several diseases. Herein, we described a case of the identification of the causative agent in a patient with acute poisoning using human skin gas.

Case Presentation

A 52‐year‐old man cut his wrists and neck and crashed his car into a tunnel wall. The patient informed the paramedics that he had taken paraquat dimethyl sulfate and was transported to our emergency medical center. Since paraquat was not found in the home, the skin gas was measured, and ortho‐dichlorobenzene was detected. An insecticide containing ortho‐dichlorobenzene was found in the home, and he was strongly suggested with ortho‐dichlorobenzene poisoning.

Conclusion

The human skin gas assay was used to identify intoxicants and is useful for the diagnosis of poisoning.

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