Abstract
N, N-dimethylformamide (DMF) is a toxic solvent that is widely used in many industries. Death directly attributed to DMF poisoning is rare. We report the case of a 40-year-old female who died of liver failure after occupational exposure to DMF poisoning over the course of 70 days, followed by 64 days treatment in hospital. Based on clinical procedures, autopsy findings, and environmental air quality assessment, the death in this case was confirmed to be the result of chronic DMF poisoning. This case gives further insight into occupational chronic poisoning-induced death, especially with negative toxicological analysis of rapid metabolism toxins poisoning.
References
Potter HP. Toxicity of dimethylformamide. Lancet. 1974;2:1084.
Twiner MJ, Hirst M, Valenciano A, Zacharewski TR, Dixon SJ. N, N-dimethylformamide modulates acid extrusion from murine hepatoma cells. Toxicol Appl Pharmacol. 1998;153:143–51.
Van den Bulcke M, Rosseel MT, Wijnants P, Buylaert W, Belpaire FM. Metabolism and hepatotoxicity of N, N-dimethylformamide, N-hydroxymethyl-N-methylformamide, and N-methylformamide in the rat. Arch Toxicol. 1994;68:291–5.
Potter HP. Dimethylformamide-induced abdominal pain and liver injury. Arch Environ Health. 1973;27:340–1.
Hamada M, Abe M, Tokumoto Y, et al. Occupational liver injury due to N, N-dimethylformamide in the synthetics industry. Intern Med. 2009;48:1647–50.
Cheng J, Liu Q, Xu B, et al. Effect of N, N-dimethylformamide on oxidation or antioxidation status among occupational exposed workers. Chinese J Prev Med. 2014;48:28–32.
Zhang Y. Manual of Toxic Chemicals Toxicity. Joint publishing house of peking medical college and beijing union medical college; 1993.
Randall B. Disposition of toxic drugs and chemicals in man. 7th ed. Ireland: Elsevier; 2004.
Nomiyama T, Uehara M, Miyauchi H, Imamiya S, Tanaka S, Seki Y. Causal relationship between a case of severe hepatic dysfunction and low exposure concentrations of N, N-dimethylformamide in the synthetics industry. Ind Health. 2001;39:33–6.
Wang M, Xie X. Analysis on a case of occupational dimethylformamide poisoning death. J Ind Med. 2006;20:272–3.
Gu Y. Occupational dimethylformamide poisoning death: a case report. J Occup Heal Damage. 2009;24:181–2.
Hong Y, Ma Y. Occupational dimethylformamide-induced severe poisoning death: a case report. Chiese Occup Med. 2009;36:143–4.
Ding Y, Ying G, Jin L. A case of occupational dimethylformamide poisoning death. Occup Heal Emerg Rescue. 2011;29(2):107–8.
Tong Z, Shi J, Zhu X, Zhu B. Death after exposure to dimethylformamide: a case report. Chinese J Ind Hyg Occup Dis. 2014;32:285–6.
Mraz J. Gas chromatographic method for the determination of N-acetyl-S-(N-methylcarbamoyl)cysteine, a metabolite of N, N-dimethylformamide and N-methylformamide, in human urine. J Chromatogr. 1988;431:361–8.
Kimmerle G, Eben A. Metabolism studies of N,N-dimethylformamide. II. Studies in persons. Int Arch Arbeitsmed. 1975;34:127–36.
Santoni G, Bavazzano P, Perico A, et al. High-performance liquid chromatographic determination of N-methylformamide and N-methyl-N-(hydroxymethyl)-formamide in human urine. J Chromatogr. 1992;581:287–92.
Osunsanya T, Adejoro B, King B. Biological monitoring of workers exposed to dimethylformamide in a textile polyurethane unit. Occup Med (Lond). 2001;51:374–9.
Redlich CA, West AB, Fleming L, True LD, Cullen MR, Riely CA. Clinical and pathological characteristics of hepatotoxicity associated with occupational exposure to dimethylformamide. Gastroenterology. 1990;99:748–57.
Qiu Q, Miao X, Lu Z, Hu G. Experimental study on acute dimethylformamide poisoning and detoxicification in mice and rabbits. Zhejiang Med J. 2006;28:349–52.
Acknowledgments
The authors wish to acknowledge Ji Zhang and Wenhe Li for assistance with the autopsy. This study was supported by National Natural Science Foundation of China (Grant No. 81273336).
Author information
Authors and Affiliations
Corresponding authors
Rights and permissions
About this article
Cite this article
Zhang, H., Liu, Q., Duan, Y. et al. Chronic occupational N, N-dimethylformamide poisoning induced death: a case report. Forensic Sci Med Pathol 11, 584–588 (2015). https://doi.org/10.1007/s12024-015-9705-5
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12024-015-9705-5