1.
A A Pract
; 12(4): 96-98, 2019 Feb 15.
Artigo
em Inglês
| MEDLINE
| ID: mdl-30052534
RESUMO
We present a case of a 73-year-old cancer patient with low transcutaneous oxygen saturation who was transferred to the intensive care unit after deployment of the rapid response team. Differential diagnosis remained broad until methemoglobinemia (MetHb) was detected.MetHb was induced by administration of rasburicase, which was given to prevent tumor lysis syndrome. In a follow-up examination, glucose-6-phosphate dehydrogenase deficiency was found to be the cause of MetHb after rasburicase exposure.Diagnosis was made by either measuring arterial MetHb or CO oximeter. Treatment options involve transfusion and methylene blue, if glucose-6-phosphate dehydrogenase deficiency is not present.
Assuntos
Deficiência de Glucosefosfato Desidrogenase/complicações , Supressores da Gota/efeitos adversos , Metemoglobinemia/diagnóstico , Urato Oxidase/efeitos adversos , Idoso , Humanos , Masculino , Metemoglobinemia/induzido quimicamente , Neoplasias/tratamento farmacológico , Oximetria
2.
Bone Marrow Transplant
; 54(12): 1923-1925, 2019 12.
Artigo
em Inglês
| MEDLINE
| ID: mdl-30890768