A Case of Toxic Methemoglobinemia following Lidocaine Application for Circumcision
نویسندگان
چکیده
Toxic methemoglobinemia is a potentially life-threatening condition. It develops generally as a complication of the use of local anesthetics. Prompt recognition and quick institution of therapy is of utmost importance. In this paper, a case of methemoglobinemia that occurred after lidocaine application for circumcision is presented in order to increase awareness among clinicians about this condition. The case was treated successfully with intravenous methylene blue.
منابع مشابه
A 12-Day-Old Boy with Methemoglobinemia After Circumcision with Local Anesthesia (Lidocaine/Prilocaine)
A 12-day-old boy presented with duskiness 4 h after circumcision with local anesthesia: infiltration with lidocaine (6 mL 1 %) and topical EMLA cream (2.5 % lidocaine/2.5 % prilocaine). He had no respiratory distress, but a strikingly dark skin. A blood sample showed dark, chocolate brown blood with a raised methemoglobin of 49.8 % (normal <1.5 %) and a lactate of 10 mmol/L. A diagnosis of meth...
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OBJECTIVE This study aimed to determine the etiologic factors of acquired methemoglobinemia in infants younger than three months in our region. METHODS This study was carried out retrospectively in infants with methemoglobinemia admitted to Karadeniz Technical University, Pediatric Clinic, during the period 2000-2009. Infants with methemoglobinemia were identified according to the medical rec...
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INTRODUCTION Local anesthesia with prilocaine has become a routine part of ambulatory circumcision procedures. Methemoglobinemia is a rare but potentially lethal complication of local anesthetics. CASE PRESENTATION We report the case of a 40-day-old Turkish boy who presented with cyanosis after receiving local anesthesia with prilocaine. His methemoglobin level revealed severe methemoglobinem...
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Toxic methemoglobinemia is an uncommon blood disorder induced by exposure to certain oxidizing agents and drugs. In severe cases, this condition may rapidly lead to major cardiopulmonary compromise and constitutes an emergency requiring prompt recognition and early management. We report an unusual case of severe toxic methemoglobinemia following wide cutaneous application of a pomade containing...
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