Title: Clinical diagnosis of acute methemoglobinemia prevents delay in treatment
Authors: Prof. Dr M.Senthilvelan, Dr G.Sivachandran, Dr K.Baburaj, Dr A.Elaiyaraja, Dr G. Arulvenkadesh, Dr Jayaram Kosalram, Dr D.Kanagaraj, Dr R.Prabhakaran, Dr B.Nageshwaran, Dr S.Gopikumar
DOI: https://dx.doi.org/10.18535/jmscr/v6i7.193
Abstract
Methhemoglobin, an altered form of hemoglobin, incapable of delivering oxygen to the tissues, can be potentially fatal if left untreated. Methemoglobinemia is an important differential diagnosis cyanosis in patients with no underlying structural heart disease. A case of acute Nitrobenzene poisoning with methemoglobinemia is presented where clinical evaluation and timely management, with repeated and judicious intravenous methylene blue helped to save a life. Secondary cycling of the drug due to the release from the stores should also be considered in the management.
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Corresponding Author
Prof. Dr M.Senthilvelan
Professor & HOD, Department of Medicine, Rajah Muthiah Medical College
