Radiopacity of household deodorizers, air fresheners, and moth repellents

J Toxicol Clin Toxicol. 1993;31(3):415-28. doi: 10.3109/15563659309000410.

Abstract

Household deodorizers and moth repellents are common agents implicated in many childhood poisonings. Their ingredients usually include either paradichlorobenzene or naphthalene compressed into a solid ball or another shape, sometimes with added essential oils and fragrances. Because medically naphthalene is a more important toxin than paradichlorobenzene, with hematologic and nervous system effects, clinicians often seek to discern which product has been ingested. We discovered fortuitously that a mothball swallowed by a retarded adult was radiopaque, and so designed an in vitro experiment to study the radiopacity of a variety of household deodorizers and products. Of 10 products screened for radiopacity by two radiologists, those containing paradichlorobenzene were consistently strongly radiopaque; those containing naphthalene were radiolucent. A third alternative ingredient which is used in some toilet bowl deodorizers, cetrimonium bromide, was also radiopaque. Radiopacity of paradichlorobenzene or cetrimonium bromide-containing products did not dissipate with time. We speculate that the halogen within the chemical structure of these compounds accounts for their radiopacity. We conclude that paradichlorobenzene-containing commercial products can be distinguished clinically from those containing naphthalene by the performance of an abdominal radiograph.

Publication types

  • Case Reports
  • Comparative Study

MeSH terms

  • Administration, Oral
  • Adult
  • Chlorobenzenes / poisoning
  • Deodorants / poisoning
  • Foreign Bodies / diagnostic imaging*
  • Household Products / poisoning*
  • Humans
  • Male
  • Naphthalenes / poisoning
  • Poisoning / diagnostic imaging*
  • Radiography
  • Stomach / diagnostic imaging*

Substances

  • Chlorobenzenes
  • Deodorants
  • Naphthalenes
  • 4-dichlorobenzene