Do all patients with acquired methemoglobinemia need treatment? A lesson learnt

Acquired methemoglobinemia is a medical emergency, and its prompt recognition and treatment can avoid catastrophic complications including death. However, in mild asymptomatic cases without any comorbid conditions, it would be reasonable to simply observe and treat symptomatically to avoid severe tr...

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Detalles Bibliográficos
Autores principales: Khanal, Raju, Karmacharya, Paras, Pathak, Ranjan, Poudel, Dilli Ram, Ghimire, Sushil, Alweis, Richard
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Co-Action Publishing 2015
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4612705/
https://www.ncbi.nlm.nih.gov/pubmed/26486118
http://dx.doi.org/10.3402/jchimp.v5.29079
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author Khanal, Raju
Karmacharya, Paras
Pathak, Ranjan
Poudel, Dilli Ram
Ghimire, Sushil
Alweis, Richard
author_facet Khanal, Raju
Karmacharya, Paras
Pathak, Ranjan
Poudel, Dilli Ram
Ghimire, Sushil
Alweis, Richard
author_sort Khanal, Raju
collection PubMed
description Acquired methemoglobinemia is a medical emergency, and its prompt recognition and treatment can avoid catastrophic complications including death. However, in mild asymptomatic cases without any comorbid conditions, it would be reasonable to simply observe and treat symptomatically to avoid severe treatment-related complications, especially in patients with suspected glucose-6-phosphate dehydrogenase (G6PD) deficiency. We present a case of mild methemoglobinemia in occult G6PD deficiency in which the patient developed hemolysis after treatment with intravenous methylene blue, requiring transfusion.
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spelling pubmed-46127052015-11-23 Do all patients with acquired methemoglobinemia need treatment? A lesson learnt Khanal, Raju Karmacharya, Paras Pathak, Ranjan Poudel, Dilli Ram Ghimire, Sushil Alweis, Richard J Community Hosp Intern Med Perspect Case Report Acquired methemoglobinemia is a medical emergency, and its prompt recognition and treatment can avoid catastrophic complications including death. However, in mild asymptomatic cases without any comorbid conditions, it would be reasonable to simply observe and treat symptomatically to avoid severe treatment-related complications, especially in patients with suspected glucose-6-phosphate dehydrogenase (G6PD) deficiency. We present a case of mild methemoglobinemia in occult G6PD deficiency in which the patient developed hemolysis after treatment with intravenous methylene blue, requiring transfusion. Co-Action Publishing 2015-10-19 /pmc/articles/PMC4612705/ /pubmed/26486118 http://dx.doi.org/10.3402/jchimp.v5.29079 Text en © 2015 Raju Khanal et al. http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License, permitting all non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Khanal, Raju
Karmacharya, Paras
Pathak, Ranjan
Poudel, Dilli Ram
Ghimire, Sushil
Alweis, Richard
Do all patients with acquired methemoglobinemia need treatment? A lesson learnt
title Do all patients with acquired methemoglobinemia need treatment? A lesson learnt
title_full Do all patients with acquired methemoglobinemia need treatment? A lesson learnt
title_fullStr Do all patients with acquired methemoglobinemia need treatment? A lesson learnt
title_full_unstemmed Do all patients with acquired methemoglobinemia need treatment? A lesson learnt
title_short Do all patients with acquired methemoglobinemia need treatment? A lesson learnt
title_sort do all patients with acquired methemoglobinemia need treatment? a lesson learnt
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4612705/
https://www.ncbi.nlm.nih.gov/pubmed/26486118
http://dx.doi.org/10.3402/jchimp.v5.29079
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