Acquired Methemoglobinemia in an Infant: Consequence of Prolonged Application of Eutectic Mixture of Local Anesthetics (EMLA) Cream for Spontaneous Abscess Drainage

Topical anesthetics are commonly used in emergency departments. One of the side effects can be methemoglobinemia if not appropriately used. We present a case of a six-week-old baby who developed methemoglobinemia with levels of 30.6% after prolonged (15 hours) application of Eutectic Mixture of Loca...

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Detalles Bibliográficos
Autores principales: Khan, Abdullah, Eldos, Yazeed, AlAnsari, Khalid M
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2022
Materias:
Emergency Medicine
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9646534/
https://www.ncbi.nlm.nih.gov/pubmed/36398037
http://dx.doi.org/10.7759/cureus.31304
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author Khan, Abdullah
Eldos, Yazeed
AlAnsari, Khalid M
author_facet Khan, Abdullah
Eldos, Yazeed
AlAnsari, Khalid M
author_sort Khan, Abdullah
collection PubMed
description Topical anesthetics are commonly used in emergency departments. One of the side effects can be methemoglobinemia if not appropriately used. We present a case of a six-week-old baby who developed methemoglobinemia with levels of 30.6% after prolonged (15 hours) application of Eutectic Mixture of Local Anesthetics (EMLA) cream. The cream was applied for spontaneous drainage of a perianal abscess. The patient received IV methylene blue with a resolution of methemoglobinemia.
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spelling pubmed-96465342022-11-16 Acquired Methemoglobinemia in an Infant: Consequence of Prolonged Application of Eutectic Mixture of Local Anesthetics (EMLA) Cream for Spontaneous Abscess Drainage Khan, Abdullah Eldos, Yazeed AlAnsari, Khalid M Cureus Emergency Medicine Topical anesthetics are commonly used in emergency departments. One of the side effects can be methemoglobinemia if not appropriately used. We present a case of a six-week-old baby who developed methemoglobinemia with levels of 30.6% after prolonged (15 hours) application of Eutectic Mixture of Local Anesthetics (EMLA) cream. The cream was applied for spontaneous drainage of a perianal abscess. The patient received IV methylene blue with a resolution of methemoglobinemia. Cureus 2022-11-09 /pmc/articles/PMC9646534/ /pubmed/36398037 http://dx.doi.org/10.7759/cureus.31304 Text en Copyright © 2022, Khan 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 Emergency Medicine
Khan, Abdullah
Eldos, Yazeed
AlAnsari, Khalid M
Acquired Methemoglobinemia in an Infant: Consequence of Prolonged Application of Eutectic Mixture of Local Anesthetics (EMLA) Cream for Spontaneous Abscess Drainage
title Acquired Methemoglobinemia in an Infant: Consequence of Prolonged Application of Eutectic Mixture of Local Anesthetics (EMLA) Cream for Spontaneous Abscess Drainage
title_full Acquired Methemoglobinemia in an Infant: Consequence of Prolonged Application of Eutectic Mixture of Local Anesthetics (EMLA) Cream for Spontaneous Abscess Drainage
title_fullStr Acquired Methemoglobinemia in an Infant: Consequence of Prolonged Application of Eutectic Mixture of Local Anesthetics (EMLA) Cream for Spontaneous Abscess Drainage
title_full_unstemmed Acquired Methemoglobinemia in an Infant: Consequence of Prolonged Application of Eutectic Mixture of Local Anesthetics (EMLA) Cream for Spontaneous Abscess Drainage
title_short Acquired Methemoglobinemia in an Infant: Consequence of Prolonged Application of Eutectic Mixture of Local Anesthetics (EMLA) Cream for Spontaneous Abscess Drainage
title_sort acquired methemoglobinemia in an infant: consequence of prolonged application of eutectic mixture of local anesthetics (emla) cream for spontaneous abscess drainage
topic Emergency Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9646534/
https://www.ncbi.nlm.nih.gov/pubmed/36398037
http://dx.doi.org/10.7759/cureus.31304
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