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- Title
Cost of Beauty; Prilocaine Induced Methemoglobinemia.
- Authors
KILICLI, Elif; AKSEL, Gokhan; OZEL, Betul AKBUGA; KAVALCI, Cemil; ARTUK, Dilek SUVEREN
- Abstract
Prilocaine induced methemoglobinemia is a rare entity. In the present paper, the authors aim to draw attention to the importance of this rare condition by reporting this case. A 30-year-old female presented to Emergency Department with headache, dispnea and cyanosis. The patient has a history of 1000-1200 mg of prilocaine subcutaneous injection for hair removal at a beauty center, 5 hours ago. Tension arterial: 130/73 mmHg, pulse: 103/minute, body temperature: 37 °C and respiratory rate: 20/minute. The patient had acral and perioral cyanosis. Methemoglobin was measured 14.1% in venous blood gas test. The patient treated with 3 gr ascorbic acid intravenously. The patient was discharged free of symptoms after 48 hours of observation. Emergency physician should consider methemoglobinemia in presentation of dispnea and cyanosis after injection of prilocaine.
- Subjects
METHEMOGLOBIN; EMERGENCY management; CYANOSIS; SUBCUTANEOUS infusions
- Publication
Turkish Journal of Emergency Medicine, 2014, Vol 14, Issue 4, p185
- ISSN
1304-7361
- Publication type
Case Study
- DOI
10.5505/1304.7361.2014.79990