@article{ref1,
title="Survival With 98% Methemoglobin Levels in a School-Aged Child During the "Festival of Colors"",
journal="Pediatric emergency care",
year="2013",
author="Sankar, Jhuma and Devangare, Shashikant and Dubey, N. K.",
volume="29",
number="10",
pages="1102-1103",
abstract="Methemoglobin levels more than 70% have almost always been reported to have been fatal. The case of a 4-year-old boy who survived with methemoglobin levels of 98% is presented here. He was brought to the emergency department with complaints of vomiting, pain abdomen, and altered sensorium following accidental ingestion of paint thinner mixed with &quot;Holi&quot; colors. On examination, the child was in altered sensorium, cyanosed with saturations of 55%, who did not respond despite positive pressure ventilation with 100% oxygen. A possibility of toxic methemoglobinemia was considered and confirmed by finding of elevated methemoglobin levels of 98%. The child survived with definitive therapy with methylene blue and aggressive goal-directed approach.<p /><p>Language: en</p>",
language="en",
issn="0749-5161",
doi="10.1097/PEC.0b013e3182a60024",
url="http://dx.doi.org/10.1097/PEC.0b013e3182a60024"
}