P-Chloroaniline Poisoning Causing Methemoglobinemia: A Case Report and Review of the Literature
Joint Authors
Nickel, Christian H.
Messmer, Anna Sarah
Bareiss, Dirk
Source
Case Reports in Emergency Medicine
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-03-12
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Background.
Methemoglobin (MetHb) most commonly results from exposure to an oxidizing chemical but may also arise from genetic, dietary, or even idiopathic etiologies.
P-chloroaniline (PCA) was one of the first substances described in the context of acquired methemoglobinemia.
Case Report.
We report the case of a cyanotic chemistry worker who presented to our emergency department (ED) after working with PCA.
His peripheral oxygen saturation (SpO2) measured by pulse oximetry was at 81% and remained on that level despite oxygen administration (100% oxygenation via nonrebreather mask).
His MetHb level was measured at 42.8% in arterial blood gas analysis.
After treatment with intravenous methylene blue cyanosis resolved and the patient was discharged after 36 hours of observation.
Conclusion.
Acquired methemoglobinemia is a treatable condition, which may cause significant morbidity and mortality.
The knowledge about the most common causes, fast diagnostic, and proper treatment is crucial.
American Psychological Association (APA)
Messmer, Anna Sarah& Nickel, Christian H.& Bareiss, Dirk. 2015. P-Chloroaniline Poisoning Causing Methemoglobinemia: A Case Report and Review of the Literature. Case Reports in Emergency Medicine،Vol. 2015, no. 2015, pp.1-4.
https://search.emarefa.net/detail/BIM-1058443
Modern Language Association (MLA)
Messmer, Anna Sarah…[et al.]. P-Chloroaniline Poisoning Causing Methemoglobinemia: A Case Report and Review of the Literature. Case Reports in Emergency Medicine No. 2015 (2015), pp.1-4.
https://search.emarefa.net/detail/BIM-1058443
American Medical Association (AMA)
Messmer, Anna Sarah& Nickel, Christian H.& Bareiss, Dirk. P-Chloroaniline Poisoning Causing Methemoglobinemia: A Case Report and Review of the Literature. Case Reports in Emergency Medicine. 2015. Vol. 2015, no. 2015, pp.1-4.
https://search.emarefa.net/detail/BIM-1058443
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1058443