[Methemoglobinemia after inhalation of poppers]. / Methämoglobinämie nach Inhalation von Poppers.
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 60â¯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.Key words
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