Out of the Blue: Methemoglobinemia Associated With the Use of Amyl Nitrite in Rush Poppers for Erectile Stimulation

We report a clinical scenario involving 51-year-old male patient with history of prediabetes and gastritis who exhibited altered mental status following the consumption poppers, supplement containing nitrites, which is used for erectile stimulation. Shortly after ingestion, experienced convulsions, foaming at mouth, subsequently developed severe respiratory distress. The diagnosis methemoglobinemia was confirmed based on elevated methemoglobin levels venous blood gas analysis. Notably, patient's had chocolate-colored appearance upon admission, characteristic finding in methemoglobinemia. Prompt recognition management, including administration methylene blue, led to resolution symptoms. This case highlights potential complications associated poppers emphasizes importance early intervention.