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Acute dapsone poisoning with methemoglobinemia: a case report

Methemoglobinemia is a common complication of dapsone poisoning. Its´ treatment usually relies on methylene blue infusion. The aim of this study was to report a case of an acute dapsone poisoning with methemoglobinemia treated only with ascorbic acid and activated charcoal. A 16-year-old female volu...

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Detalles Bibliográficos
Autores principales: El Hamzaoui, Hamza, Chajai, Idriss, El Ouazzani, Mohamed Chahidi, Benhalima, Abdelkader, El Arfaoui, Manal, Alilou, Mustapha
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The African Field Epidemiology Network 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9674526/
https://www.ncbi.nlm.nih.gov/pubmed/36451721
http://dx.doi.org/10.11604/pamj.2022.43.20.34069
Descripción
Sumario:Methemoglobinemia is a common complication of dapsone poisoning. Its´ treatment usually relies on methylene blue infusion. The aim of this study was to report a case of an acute dapsone poisoning with methemoglobinemia treated only with ascorbic acid and activated charcoal. A 16-year-old female voluntary ingested 3 grams of dapsone in an attempt of suicide and presented with desaturation and tachypnea. Lab findings were compatible with methemoglobinemia. After two days of treatment with ascorbic acid and activated charcoal, we observed the disappearance of desaturation and tachypnea. Methemoglobinemia can be treated with ascorbic acid and activated charcoal in limited resource settings.