METHEMOGLOBINEMIA-AN ALTERNATIVE TREATMENT MODALITY
AbstractMethaemogloninemia is a rare condition characterized by elevated levels of methemoglobin levels. We report a case of a young lady who took thinner (a solvent used in paint). Methemoglobinemia was diagnosed on the basis of saturation gap and elevated methemoglobin levels. She recovered after exchange transfusion, which was done due to non-availability of parenteral methylene blue.Keywords: Methmoglobinemia, treatment, exchange transfusion
Mansouri A. Review. Methemoglobinemia. Am J Med Sci 1985;289(5):200–9.
do Nascimento TS, Pereira RO, de Mello HL, Costa J. Methemoglobinemia: from diagnosis to treatment. Rev Bras Anestesiol 2008;58(6):651–7.
Curry SC, Carlton MW: Hematological consequences of poisoning--methemoglobinemia. Clinical Management of Poisoning and Drug Overdose. Haddad LM, Shannon MW, Winchester JF (eds). Philadelphia, WB Saunders Co, 3rd Ed, 1998, pp 226-230.
Fernandez-Frackelton M, Bocock J. Cyanosis. In: Marx JA, Hockberger RS, Walls RM, et al, eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. 7th ed. Philadelphia, Pa: Mosby Elsevier; 2009: chap 29.
Ash-Bernal R, Wise R, Wright SM. Acquired methemoglobinemia: a retrospective series of 138 cases at 2 teaching hospitals. Medicine (Baltimore) 2004;83(5):265–73.