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Nitrobenzene Poisoning - An Overview

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Exposure to nitrobenzene, a hazardous synthetic chemical produced by industries, can be fatal. Read about nitrobenzene toxicity, its diagnosis, and treatment.

Written by

Dr. Vandana Rai

Medically reviewed by

Dr. Muhammad Zubayer Alam

Published At October 27, 2023
Reviewed AtOctober 27, 2023

Introduction:

Nitrobenzene is an aromatic compound with the chemical formula C6H5NO2. It is a pale yellow, oily liquid with a sweet, fruity smell. Nitrobenzene is used in the manufacture of dyes, plastics, and pharmaceuticals. It is also used as a solvent and a gasoline additive. While nitrobenzene has some practical industrial applications, it can be toxic to humans if ingested or inhaled. It can be hazardous and must be disposed of properly to prevent environmental contamination.

What Are the Sources of Exposure to Nitrobenzene?

  • Nitrobenzene can be inhaled through polluted air or absorbed through skin contact. It can be released into the air and water from industries such as petroleum refineries and chemical manufacturing plants.

  • In the case of occupational exposure, industries involved in producing explosives, pharmaceuticals, aniline, pesticides, and dyestuffs increase the risk of nitrobenzene poisoning among workers.

  • Living in proximity to hazardous waste sites can also increase the risk of exposure due to potential soil and groundwater contamination.

  • Plants can also absorb nitrobenzene. Thus, it is essential to follow guidelines issued by the local health departments to avoid consuming contaminated plants, fish, or wildlife.

How Can Nitrobenzene Affect Health?

Exposure to nitrobenzene can occur through inhalation, ingestion, or skin contact. Inhaling nitrobenzene can irritate the eyes, nose, and throat, causing dizziness, headache, and nausea. If ingested, nitrobenzene can cause abdominal pain, vomiting, and diarrhea. Skin contact with nitrobenzene can cause redness, itching, and blistering.

Ingestion of nitrobenzene can be particularly dangerous because the compound is converted to hydroxylamine in the body, which can cause methemoglobinemia. Methemoglobinemia is a condition in which the oxygen-carrying capacity of the blood is impaired, leading to symptoms such as cyanosis (bluish discoloration of the skin and mucous membranes), which is particularly noticeable around the lips, hands, and other areas, along with fatigue and shortness of breath. Severe methemoglobinemia can lead to coma and death.

How To Diagnose Nitrobenzene Poisoning?

Diagnosis of nitrobenzene poisoning can be made based on the clinical presentation of the symptoms and a patient's history of exposure to the chemical. A healthcare professional will typically ask about any recent exposure to nitrobenzene and conduct a physical examination to check for signs of toxicity. Blood and urine tests can also be used to help diagnose nitrobenzene poisoning. These tests can measure the levels of nitrobenzene and its breakdown products in the body.

Blood tests may include liver function tests (LFTs) and creatinine kinase levels (CK). Imaging tests, such as CT (computed tomography) scans or MRI (magnetic resonance imaging) scans, may be done in cases of suspected severe exposure or if there is a change in the sensorium or any focal neurological deficit. It is also important to note that symptoms of nitrobenzene poisoning can be similar to those of other conditions, so a healthcare professional will typically consider other possible causes before making a diagnosis.

How Can Nitrobenzene Poisoning Be Treated?

The treatment for nitrobenzene poisoning will depend on the severity of the exposure, and the symptoms experienced by the individual. If inhaled, individuals should immediately be moved to a well-ventilated area. In case of breathing difficulties, patients may need oxygen therapy. If the person has ingested nitrobenzene, they may need to have their stomach pumped (gastric lavage) to remove any remaining nitrobenzene from the stomach. They may also be given activated charcoal to absorb nitrobenzene in the intestines. If the person has developed methemoglobinemia, they may be given medications to reduce the methemoglobin level in the blood, such as methylene blue or ascorbic acid (vitamin C). If the person is experiencing severe symptoms, they may need to be hospitalized for further treatment.

How to Prevent Nitrobenzene Poisoning?

Several measures can be taken to prevent nitrobenzene poisoning:

  • Use Caution When Handling Nitrobenzene: Follow proper safety guidelines and use protective equipment such as gloves, goggles, and a respirator while working with nitrobenzene.

  • Store Nitrobenzene Safely: Nitrobenzene should be stored in a well-ventilated area, away from heat and flame, and out of reach of children and pets.

  • Dispose Of Nitrobenzene Properly: Nitrobenzene should be disposed of according to local regulations. It should be disposed of at a hazardous waste facility.

  • Be Aware Of The Potential Nitrobenzene Contamination: Nitrobenzene can contaminate soil and water, so it is essential to be aware of its potential for environmental contamination.

Can Nitrobenzene Cause Cancer?

Nitrobenzene has been evaluated by several agencies and organizations for its potential to cause cancer in humans. The National Toxicology Program and U.S. Environmental Protection Agency have concluded that nitrobenzene is likely a human carcinogen. In addition, the International Agency for Research on Cancer has also determined that nitrobenzene may be possibly carcinogenic to humans. These findings suggest that nitrobenzene may potentially cause cancer in humans, but more research is needed to understand the extent of this risk fully.

What Are The First Aid Measures For Nitrobenzene Toxicity?

The first aid measures for nitrobenzene toxicity depend on the route of exposure (inhalation, ingestion, or skin contact).

  • Inhalation: If the person has inhaled nitrobenzene, move them to a well-ventilated area and call for medical help. Oxygen therapy should be given for breathing difficulty.

  • Ingestion: If the person has ingested nitrobenzene, call for medical help immediately. Do not induce vomiting unless instructed to do so by a medical professional. If the person is conscious and able to swallow, liquids like water or milk should be given instead of solids.

  • Skin Contact: If someone has come into contact with nitrobenzene, remove any contaminated clothing and wash the affected area with soap and water. One should call for immediate medical assistance if the person is experiencing symptoms such as redness, blistering, or any such alarming signs.

Conclusion:

In conclusion, nitrobenzene is a toxic compound that can cause various human symptoms if ingested or inhaled. It can also cause methemoglobinemia, which can be life-threatening. Individuals exposed to nitrobenzene should call for medical help immediately. The treatment for nitrobenzene poisoning will depend on the exposure and severity of the symptoms experienced by the individual. To prevent nitrobenzene poisoning, it is essential to use caution when handling the compound, store it safely, dispose of it properly, and be aware of the potential for environmental contamination.

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Dr. Muhammad Zubayer Alam
Dr. Muhammad Zubayer Alam

Pulmonology (Asthma Doctors)

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