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Severe Methemoglobinemia due to Sodium Nitrite Poisoning
Joint Authors
Katabami, Kenichi
Hayakawa, Mineji
Gando, Satoshi
Source
Case Reports in Emergency Medicine
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-08-03
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
Case.
We report a case of severe methemoglobinemia due to sodium nitrite poisoning.
A 28-year-old man was brought to our emergency department because of transient loss of consciousness and cyanosis.
He was immediately intubated and ventilated with 100% oxygen.
A blood test revealed a methemoglobin level of 92.5%.
Outcome.
We treated the patient with gastric lavage, activated charcoal, and methylene blue (2 mg/kg) administered intravenously.
Soon after receiving methylene blue, his cyanosis resolved and the methemoglobin level began to decrease.
After relocation to the intensive care unit, his consciousness improved and he could recall ingesting approximately 15 g sodium nitrite about 1 hour before he was brought to our hospital.
The patient was discharged on day 7 without neurologic impairment.
Conclusion.
Severe methemoglobinemia may be fatal.
Therefore, accurate diagnosis of methemoglobinemia is very important so that treatment can be started as soon as possible.
American Psychological Association (APA)
Katabami, Kenichi& Hayakawa, Mineji& Gando, Satoshi. 2016. Severe Methemoglobinemia due to Sodium Nitrite Poisoning. Case Reports in Emergency Medicine،Vol. 2016, no. 2016, pp.1-3.
https://search.emarefa.net/detail/BIM-1100746
Modern Language Association (MLA)
Katabami, Kenichi…[et al.]. Severe Methemoglobinemia due to Sodium Nitrite Poisoning. Case Reports in Emergency Medicine No. 2016 (2016), pp.1-3.
https://search.emarefa.net/detail/BIM-1100746
American Medical Association (AMA)
Katabami, Kenichi& Hayakawa, Mineji& Gando, Satoshi. Severe Methemoglobinemia due to Sodium Nitrite Poisoning. Case Reports in Emergency Medicine. 2016. Vol. 2016, no. 2016, pp.1-3.
https://search.emarefa.net/detail/BIM-1100746
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1100746