TY  - JOUR
PY  - 2022//
TI  - A case of suspected cocaine adulterant-associated methemoglobinemia in the United States
JO  - Curēus
A1  - Dulin, Nicholas S.
A1  - Cates, Alexis L.
A1  - Cullen, Julia M.
SP  - e27362
EP  - e27362
VL  - 14
IS  - 7
N2  - A 30-year-old male with a past history of polysubstance use presents to a drug rehabilitation facility after cocaine and heroin use just prior to arrival. While drinking at a water fountain at the facility, he became unresponsive. He was discovered to have an oxygen saturation of 50% on room air with an improvement to 87% on non-rebreather masks. Arterial blood gas revealed a methemoglobin level of 45.8%. The patient was given methylene blue with a repeat methemoglobin level of 0.00% within six hours. We attribute this presentation to local anesthetic-adulterated cocaine, a well-documented cause of methemoglobinemia in the United Kingdom rarely described in the United States.<p />  <p>Language: en</p>
LA  - en
SN  - 2168-8184
UR  - http://dx.doi.org/10.7759/cureus.27362
ID  - ref1
ER  -