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解雇規制緩和という『ブラック・スワン』に備えよ (日経BP)

担当 さて、令和初のコラムのネタなんですけど……どうしましょうね。ってか、センセーはあんまり令和とか、そういうの気にしないでしょうけど。 鈴木 いや、そういうの...

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  2. 万年研修医の覚悟がないと時代に取り残され...
  3. 認知症の睡眠問題は「診立て」が肝心 (日...
  4. 再製造医療機器流通のために病院が注意すべ...

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Newborn Infant With Mothball Toxicity Due to Maternal Ingestion.

著者 Sahni M , Vibert Y , Bhandari V , Menkiti O
Pediatrics.2019 May 07 ; ():.
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Naphthalene poisoning due to exposure to mothballs is a common cause of toxicity in children worldwide. Naphthalene toxicity is known to cause hemolytic anemia, methemoglobinemia, and hepatic and renal injury. Neonates are more susceptible to the effects of oxidative stress from naphthalene because of their low glutathione stores and immaturity of hepatic enzymes. However, there are no reported cases of chronic fetal exposure to naphthalene during pregnancy. We report a novel case of chronic fetal exposure to naphthalene-containing mothballs that occurred from the second trimester through the third trimester of pregnancy. Our patient presented with hyperbilirubinemia, requiring exchange transfusion, severe hemolytic anemia, pulmonary hypertension, respiratory failure, and renal failure and progressed to develop "bronze baby" syndrome. Pregnant mothers should be diligently screened for such exposures and if found should receive psychiatric evaluation and counseling to prevent such devastating effects in neonates.
PMID: 31064798 [PubMed - as supplied by publisher]
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