Citation

Hans Raj P, Akanksha C, Manoj L, Ronak G, Sadik M. Toxicol. Int. 2015; 22(3): 147-150.

Copyright

(Copyright © 2015, Society of Toxicology India)

DOI

10.22506/ti/2015/v22/i3/137639

PMID

unavailable

Abstract

Here we report a case of sodium nitrite ingestion for suicidal attempt, presented in unconsciousness, shock and deeply cyanosed condition. He was pulseless and had no recordable BP with methemoglobin level of 77% and saturation gap of 20. He was put on ventilator in ICU and treated with ionotropes, oral methylene blue and parental ascorbic acid. He completely recovered after two days with normal methemoglobin level. Survival in a case of methemoglobinemia with extremely high level of methemoglobin, non recordable BP and deep cyanosis is rarely reported. We report this case for awareness about the severity of signs and symptoms depend on the methemoglobin concentration in blood, false results of pulse oximetry and high saturation gap in methemoglobinemia, and about the management of the lethal effect of poisoning. © 2015 Informatics Publishing Limited and The Society of Toxicology. All rights reserved.

Language: en

Keywords

adult; human; suicide; male; shock; case report; methemoglobinemia; Sodium Nitrite; sodium nitrite; vomiting; disease association; clinical article; intensive care unit; noradrenalin; cyanosis; artificial ventilation; electrocardiogram; Methemoglobinemia; methemoglobin; methylene blue; sinus tachycardia; oxygen saturation; drug dose reduction; ascorbic acid; Article; unconsciousness; pulse oximetry; Shock; mydriasis; hemoglobin blood level; young adult; repeated drug dose; Oral Methylene Blue; Saturation Gap; ventilator weaning