Methemoglobinemia and Sulfhemoglobinemia in Two Pediatric Patients after Ingestion of Hydroxylamine Sulfate

This case report describes two pediatric cases of immediate oxygen desaturation from methemoglobinemia and sulfhemoglobinemia after one sip from a plastic water bottle containing hydroxylamine sulfate used by a relative to clean shoes. Supplemental oxygen and two separate doses of methylene blue giv...

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Autores principales: Gharahbaghian, Laleh, Massoudian, Bobby, DiMassa, Giancarlo
Formato: Texto
Lenguaje:English
Publicado: Department of Emergency Medicine, University of California, Irvine School of Medicine 2009
Materias:
Toxicology
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2729224/
https://www.ncbi.nlm.nih.gov/pubmed/19718385
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author Gharahbaghian, Laleh
Massoudian, Bobby
DiMassa, Giancarlo
author_facet Gharahbaghian, Laleh
Massoudian, Bobby
DiMassa, Giancarlo
author_sort Gharahbaghian, Laleh
collection PubMed
description This case report describes two pediatric cases of immediate oxygen desaturation from methemoglobinemia and sulfhemoglobinemia after one sip from a plastic water bottle containing hydroxylamine sulfate used by a relative to clean shoes. Supplemental oxygen and two separate doses of methylene blue given to one of the patients had no effect on clinical symptoms or pulse oximetry. The patients were admitted to the pediatric Intensive Care Unit (ICU) with subsequent improvement after exchange transfusion. Endoscopy showed ulcer formation in one case and sucralafate was initiated; both patients were discharged after a one-week hospital stay.
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spelling pubmed-27292242009-08-28 Methemoglobinemia and Sulfhemoglobinemia in Two Pediatric Patients after Ingestion of Hydroxylamine Sulfate Gharahbaghian, Laleh Massoudian, Bobby DiMassa, Giancarlo West J Emerg Med Toxicology This case report describes two pediatric cases of immediate oxygen desaturation from methemoglobinemia and sulfhemoglobinemia after one sip from a plastic water bottle containing hydroxylamine sulfate used by a relative to clean shoes. Supplemental oxygen and two separate doses of methylene blue given to one of the patients had no effect on clinical symptoms or pulse oximetry. The patients were admitted to the pediatric Intensive Care Unit (ICU) with subsequent improvement after exchange transfusion. Endoscopy showed ulcer formation in one case and sucralafate was initiated; both patients were discharged after a one-week hospital stay. Department of Emergency Medicine, University of California, Irvine School of Medicine 2009-08 /pmc/articles/PMC2729224/ /pubmed/19718385 Text en Copyright © 2009 the authors. http://creativecommons.org/licenses/by-nc/4.0 This is an open access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY 4.0) License. See: http://creativecommons.org/licenses/by-nc/4.0/.
spellingShingle Toxicology
Gharahbaghian, Laleh
Massoudian, Bobby
DiMassa, Giancarlo
Methemoglobinemia and Sulfhemoglobinemia in Two Pediatric Patients after Ingestion of Hydroxylamine Sulfate
title Methemoglobinemia and Sulfhemoglobinemia in Two Pediatric Patients after Ingestion of Hydroxylamine Sulfate
title_full Methemoglobinemia and Sulfhemoglobinemia in Two Pediatric Patients after Ingestion of Hydroxylamine Sulfate
title_fullStr Methemoglobinemia and Sulfhemoglobinemia in Two Pediatric Patients after Ingestion of Hydroxylamine Sulfate
title_full_unstemmed Methemoglobinemia and Sulfhemoglobinemia in Two Pediatric Patients after Ingestion of Hydroxylamine Sulfate
title_short Methemoglobinemia and Sulfhemoglobinemia in Two Pediatric Patients after Ingestion of Hydroxylamine Sulfate
title_sort methemoglobinemia and sulfhemoglobinemia in two pediatric patients after ingestion of hydroxylamine sulfate
topic Toxicology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2729224/
https://www.ncbi.nlm.nih.gov/pubmed/19718385
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AT massoudianbobby methemoglobinemiaandsulfhemoglobinemiaintwopediatricpatientsafteringestionofhydroxylaminesulfate
AT dimassagiancarlo methemoglobinemiaandsulfhemoglobinemiaintwopediatricpatientsafteringestionofhydroxylaminesulfate

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