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Black urine due to cresol intoxication
  1. Masaaki Hino1,
  2. Akira Kuriyama1,
  3. Yoshiaki Anzai2
  1. 1Emergency and Critical Care Center, Kurashiki Central Hospital, Kurashiki, Japan
  2. 2Department of General Medicine, Kurashiki Central Hospital, Kurashiki, Japan
  1. Correspondence to Dr Akira Kuriyama, Emergency and Critical Care Center, Kurashiki Central Hospital, Kurashiki 710-8602, Japan; ak13568{at}kchnet.or.jp

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A 46-year-old woman presented to our hospital with acute-onset vomiting and altered mental status. She had a history of depression with an episode of antipsychotic drug overdose 10 years ago. On arrival, she was comatose and had a strong wood creosote-like smell. Her physical examination revealed miosis, discoloration and blisters on her face without oropharyngeal mucosal erosion. She continuously excreted black urine for a day, …

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Footnotes

  • Contributors All authors looked after the patient. MH and AK wrote the draft. All authors approved the submission of the current manuscript. AK serves as a guarantor for this article.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Written informed consent was obtained.

  • Provenance and peer review Not commissioned; internally peer reviewed.

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