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[Methemoglobinemia after inhalation of poppers]. / Methämoglobinämie nach Inhalation von Poppers.
Janssens, U; Hillen, S; Janssens, T; Grafe, J.
Affiliation
  • Janssens U; Klinik für Innere Medizin und Internistische Intensivmedizin, St.-Antonius-Hospital, Dechant-Deckers-Str. 8, 52249, Eschweiler, Deutschland. uwe.janssens@sah-eschweiler.de.
  • Hillen S; Klinik für Innere Medizin und Internistische Intensivmedizin, St.-Antonius-Hospital, Dechant-Deckers-Str. 8, 52249, Eschweiler, Deutschland.
  • Janssens T; Ludwig-Maximilians-Universität, München, Deutschland.
  • Grafe J; Klinik für Innere Medizin und Internistische Intensivmedizin, St.-Antonius-Hospital, Dechant-Deckers-Str. 8, 52249, Eschweiler, Deutschland.
Med Klin Intensivmed Notfmed ; 114(4): 345-349, 2019 May.
Article in De | MEDLINE | ID: mdl-29666878
ABSTRACT

BACKGROUND:

This case report presents a case of symptomatic methemoglobinemia (MetHb 31.6%) after inhalation of volatile nitrites (poppers).

METHODS:

The patient's medical history and symptoms are discussed together with pathophysiology of methemoglobinemia, diagnostics, and antidote therapy. Pulse oxymetry, arterial blood gas analysis, and CO-oximetry receive particular attention as well as antidote therapy with methylene blue.

RESULTS:

The patient was treated successfully with intravenous methylene blue. Within 60 min methemoglobinemia returned to normal values (MetHb 0.6%).

CONCLUSION:

Stimulating compounds such as volatile nitrites (poppers) may lead to potentially fatal methemoglobinemia. Swift and accurate diagnosis and targeted therapy with methylene blue can lead to rapid recovery.
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Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Methemoglobinemia / Nitrites Type of study: Diagnostic_studies / Etiology_studies Limits: Adult / Humans / Male Language: De Journal: Med Klin Intensivmed Notfmed Year: 2019 Document type: Article
Fulltext
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PubMed Links
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Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Methemoglobinemia / Nitrites Type of study: Diagnostic_studies / Etiology_studies Limits: Adult / Humans / Male Language: De Journal: Med Klin Intensivmed Notfmed Year: 2019 Document type: Article