Here is a complete explanation:
Why Does Urine Turn Green in Carbolic Acid (Phenol) Poisoning?
The Condition: Carboluria
Green or dark urine in carbolic acid poisoning is called carboluria. The urine may appear normal or have a greenish hue when first passed, but turns dark or olive green on standing and exposure to air.
Step-by-Step Mechanism
1. Absorption of Phenol
Carbolic acid (phenol) is readily absorbed through all routes - ingestion, inhalation, and even intact skin - and rapidly enters the bloodstream.
2. Hepatic Metabolism
In the liver, phenol is partially oxidized to two key metabolites:
- Pyrocatechol (catechol)
- Hydroquinone
The rest is excreted unchanged, partly free and partly conjugated with sulphuric acid or glucuronic acid.
3. Renal Excretion
These metabolites (pyrocatechol and hydroquinone) are filtered by the kidneys and excreted in the urine. Freshly voided urine may look nearly normal.
4. Oxidation in Air - The Key Step
When the urine is exposed to air (oxygen), pyrocatechol and hydroquinone undergo oxidation and polymerization, forming dark-colored quinone polymers (melanin-like pigments). This is why the color develops on standing - it is not visible immediately.
The reaction:
Hydroquinone + Pyrocatechol → oxidation by O₂ → dark greenish-black quinone pigments
Associated Feature: Ochronosis
The same metabolites (hydroquinone and pyrocatechol), in chronic poisoning, can deposit in cartilage, cornea, and venous complexes, causing bluish-black pigmentation - a condition called ochronosis (normally associated with alkaptonuria, but also seen here).
Urine Tests to Confirm Phenol
| Test | Result |
|---|
| Add ferric chloride to urine | Urine turns blue |
| Add bromine water to urine | White precipitate of tribromophenol forms |
Summary
The green color of urine in carbolic acid poisoning is due to the air-oxidation of pyrocatechol and hydroquinone - the hepatic oxidation products of phenol - which are excreted in urine and polymerize into dark quinone pigments when exposed to oxygen. The urine color progresses from greenish to olive-green to almost black on prolonged standing.
Source: PC Dikshit Textbook of Forensic Medicine and Toxicology, Signs and Symptoms section