Case ReportsThe Diagnosis of a Case of Household Cleaner FatalityDas, Siddhartha MD∗; Rahman, Nisreen Abdul MD†; Hanuman, Srinivas Bheemanathi MD‡; Nandagopal, Suresh MSc§Author Information From the ∗Department of Forensic Medicine & Toxicology, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Pondicherry †Department of Forensic Medicine & Toxicology, KMCT Medical College, Kozhikode, Kerala ‡Department of Pathology, JIPMER, Pondicherry §Forensic Sciences Department, Chennai, India. Manuscript received December 4, 2019; accepted April 7, 2020. The authors report no conflict of interest. Reprints: Nisreen Abdul Rahman, MD, Department of Forensic Medicine & Toxicology, KMCT Medical College, Manassery, Kozhikode, Kerala, India 673602. E-mail: [email protected]. The American Journal of Forensic Medicine and Pathology: September 2020 - Volume 41 - Issue 3 - p 203-206 doi: 10.1097/PAF.0000000000000566 Buy Metrics Abstract Household cleaners are an unavoidable entity in our routine domestic life. They are available either in company-labeled bottles or locally made unlabeled bottles especially in the developing countries. In this report, we are discussing a case of fatal ingestion of household cleaner, which was stored in an unlabeled bottle. The deceased developed features of gastrointestinal irritation, such as vomiting and pain in throat and abdomen. He also had features of aspiration such as cough and chest crepitation. Finally, he developed metabolic acidosis, gastric perforation, respiratory failure, and died within a day. The autopsy features such as teeth discoloration, corrosion of mouth and lips, and histopathological findings helped us in concluding that the ingredients contained some corrosive mineral acid. This case highlights the importance of histopathological examination of viscera in alleged cases of household cleaner poisoning where toxicological analysis of viscera gives negative results. Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.