Sodium Nitrite Accidental Occupational Inhalational Poisoning

Johny Sindher,Pranjjal Sindhu,Amitesh Aggarwal,Shiva Narang

Published 2025 in Indian Journal of Medical Specialities

ABSTRACT

Occupational accidents and illnesses are rising, with various systemic features influenced by exposure route, intensity, and duration. Sodium nitrite, used in food, textile, and printing industries, is a frequent cause of accidental, suicidal, and homicidal poisonings. We report a case of accidental sodium nitrite exposure in a dye factory via inhalation. The patient, involved in mixing sodium nitrite with caustic and nitric acid, developed acute respiratory symptoms often misdiagnosed as common respiratory illnesses, risking fatal outcomes. Chronic exposure signs included nail and teeth discoloration. The patient lacked protective gear, increasing vulnerability to toxic fumes. Immediate supportive care led to significant improvement. This case underscores the urgent need for strict enforcement of workplace safety regulations to reduce occupational hazards and associated morbidity and mortality. Employers must ensure proper ventilation and provide protective equipment to prevent such incidents.

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