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- Title
Methylene blue unresponsive methemoglobinemia.
- Authors
Patnaik, Sibabratta; Natarajan, Manivachagan Muthappa; James, Ebor Jacob; Ebenezer, Kala
- Abstract
Acquired methemoglobinemia is an uncommon blood disorder induced by exposure to certain oxidizing agents and drugs. Although parents may not give any history of toxin ingestion; with the aid of pulse-oximetry and blood gas analysis, we can diagnose methemoglobinemia. Prompt recognition of this condition is required in emergency situations to institute early methylene blue therapy. We report an unusual case of severe toxic methemoglobinemia, which did not respond to methylene blue, but was successfully managed with exchange transfusion.
- Subjects
METHYLENE blue; METHEMOGLOBINEMIA; BLOOD transfusion; DRUG therapy; INTENSIVE care units; HEALTH outcome assessment; OXIMETRY; PEDIATRICS; TREATMENT effectiveness; EVALUATION; DIAGNOSIS; THERAPEUTICS
- Publication
Indian Journal of Critical Care Medicine, 2014, Vol 18, Issue 4, p253
- ISSN
0972-5229
- Publication type
Article
- DOI
10.4103/0972-5229.130582