A Case Report of Acute Transient Encephalopathy Following a Trans-esophageal Echocardiography

Methemoglobinemia is caused due to an increase in methemoglobin in the blood, impairing oxygen transfer to tissues. Acquired methemoglobinemia is caused by various drugs like local anesthetics, antibiotics, nitrates, nitrites, and food additives. We present a case of a 73-year-old male who presented...

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Autores principales: Mir, Wasey Ali Yadullahi, Shrestha, Dhan B, Reddy, Vijay Ketan, Gaire, Suman, Verda, Larissa
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2021
Materias:
Anesthesiology
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8572029/
https://www.ncbi.nlm.nih.gov/pubmed/34760423
http://dx.doi.org/10.7759/cureus.18580
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author Mir, Wasey Ali Yadullahi
Shrestha, Dhan B
Reddy, Vijay Ketan
Gaire, Suman
Verda, Larissa
author_facet Mir, Wasey Ali Yadullahi
Shrestha, Dhan B
Reddy, Vijay Ketan
Gaire, Suman
Verda, Larissa
author_sort Mir, Wasey Ali Yadullahi
collection PubMed
description Methemoglobinemia is caused due to an increase in methemoglobin in the blood, impairing oxygen transfer to tissues. Acquired methemoglobinemia is caused by various drugs like local anesthetics, antibiotics, nitrates, nitrites, and food additives. We present a case of a 73-year-old male who presented with cyanosis, altered mental status, and hypoxia following transesophageal echocardiography. Arterial blood gas analysis revealed methemoglobinemia. He had been given topical lidocaine and benzocaine spray before the procedure. He improved after the administration of methylene blue. The case highlights the importance of considering methemoglobinemia in patients presenting with cyanosis, altered mental status, and hypoxia after endoscopic procedures.
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spelling pubmed-85720292021-11-09 A Case Report of Acute Transient Encephalopathy Following a Trans-esophageal Echocardiography Mir, Wasey Ali Yadullahi Shrestha, Dhan B Reddy, Vijay Ketan Gaire, Suman Verda, Larissa Cureus Anesthesiology Methemoglobinemia is caused due to an increase in methemoglobin in the blood, impairing oxygen transfer to tissues. Acquired methemoglobinemia is caused by various drugs like local anesthetics, antibiotics, nitrates, nitrites, and food additives. We present a case of a 73-year-old male who presented with cyanosis, altered mental status, and hypoxia following transesophageal echocardiography. Arterial blood gas analysis revealed methemoglobinemia. He had been given topical lidocaine and benzocaine spray before the procedure. He improved after the administration of methylene blue. The case highlights the importance of considering methemoglobinemia in patients presenting with cyanosis, altered mental status, and hypoxia after endoscopic procedures. Cureus 2021-10-07 /pmc/articles/PMC8572029/ /pubmed/34760423 http://dx.doi.org/10.7759/cureus.18580 Text en Copyright © 2021, Mir et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Anesthesiology
Mir, Wasey Ali Yadullahi
Shrestha, Dhan B
Reddy, Vijay Ketan
Gaire, Suman
Verda, Larissa
A Case Report of Acute Transient Encephalopathy Following a Trans-esophageal Echocardiography
title A Case Report of Acute Transient Encephalopathy Following a Trans-esophageal Echocardiography
title_full A Case Report of Acute Transient Encephalopathy Following a Trans-esophageal Echocardiography
title_fullStr A Case Report of Acute Transient Encephalopathy Following a Trans-esophageal Echocardiography
title_full_unstemmed A Case Report of Acute Transient Encephalopathy Following a Trans-esophageal Echocardiography
title_short A Case Report of Acute Transient Encephalopathy Following a Trans-esophageal Echocardiography
title_sort case report of acute transient encephalopathy following a trans-esophageal echocardiography
topic Anesthesiology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8572029/
https://www.ncbi.nlm.nih.gov/pubmed/34760423
http://dx.doi.org/10.7759/cureus.18580
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