4,491 results match your criteria: "Methemoglobinemia"

Treatment of congenital chyloperitoneum is a challenge. Conservative methods may be ineffective. Preoperative visualization of the site of lymphatic leakage is crucial, but radiological imaging is technically complicated and may not provide sufficient information, especially in small patients.

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Nitric Oxide (NO) is a naturally occurring modulator of inflammation found in the human body. Several studies in the pediatric cardiothoracic surgery literature have demonstrated some beneficial clinical effects when NO is added to the sweep gas of the cardiopulmonary bypass circuit. Our primary aim was to determine the safety of incorporating nitric oxide into the oxygenator sweep gas of the extracorporeal membrane oxygenation (ECMO) circuit.

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Article Synopsis
  • - EMLA cream, while generally safe, can lead to rare systemic toxicity, particularly in children or under specific conditions in adults, such as extensive application on damaged skin.
  • - A case involving a 71-year-old man highlighted the risks; after applying EMLA for leg ulcers, he developed methemoglobinemia and showed severe symptoms like somnolence and cyanosis, with methemoglobin levels reaching 15.1%.
  • - The patient's condition improved rapidly after the removal of the cream and oxygen treatment, underscoring that EMLA can be dangerous if not used carefully, even in older adults.
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Methemoglobinemia is a potentially life-threatening condition caused by the formation of methemoglobin, a form of hemoglobin that cannot bind oxygen. While there are some rare congenital causes of methemoglobinemia, most cases are acquired from the effects of specific drugs or environmental exposures. In this retrospective study, we analyzed a large data set of whole blood samples analyzed for methemoglobin at an academic medical center in Midwestern United States that provides both pediatric and adult services.

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Traumatic brain injury (TBI) and brain ischemia/reperfusion cause neurodegenerative processes that can continue after the acute stage with the development of severe brain atrophy with dementia. In this case, the long-term neurodegeneration of the brain is similar to the neurodegeneration characteristic of Alzheimer's disease (AD) and is associated with the accumulation of beta amyloid and tau protein. In the pathogenesis of AD as well as in the pathogenesis of cerebral ischemia and TBI oxidative stress, progressive inflammation, glial activation, blood-brain barrier dysfunction, and excessive activation of autophagy are involved, which implies the presence of many targets that can be affected by neuroprotectors.

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Background: Herbal products and traditional remedies are commonly used by individuals worldwide for the management of common ailments, even though most are not without risks. Acalypha indica is a popular medicinal plant consumed in some Asian countries.

Case Presentation: This case report presents a 40-year-old previously unevaluated Sri Lankan female and her 8-year-old son who presented with severe glucose-6-phosphate dehydrogenase (G6PD) deficiency related acute intravascular oxidative haemolysis and methaemoglobinaemia precipitated by Acalypha indica consumption, successfully managed with supportive care and blood transfusion.

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Zopiclone is a sedative-hypnotic that is increasingly being used for insomnia, especially among patients with depression. The side effects of zopiclone include nausea, vomiting, headache, giddiness, sedation, altered mental status, and coma. Here, we describe a rare case of a patient with underlying depression who overdosed on zopiclone, resulting in a presentation of drowsiness and dyspnea.

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Extracorporeal cardio-pulmonary resuscitation in a patient with missed diagnosis of sodium nitrite intoxication.

Perfusion

March 2024

Department of Emergency and Intensive Care, Fondazione IRCCS San Gerardo dei Tintori, Monza, Italy.

Article Synopsis
  • Sodium nitrite (NaNO) poisoning can lead to acute methemoglobinemia, which complicates emergency medical responses during cardiac arrest.
  • A case is reported where a patient suffered cardiac arrest after deliberate self-intoxication, but methemoglobinemia went undetected during resuscitation efforts, contributing to the outcome.
  • The case underscores the importance of quickly identifying the poison and administering the appropriate antidotes to improve survival chances in similar emergencies.
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Cite this article as: Karaçoban G, Gurbanov A, Özen H, Gün E, Çakmaklı HF, Kendirli T. Successful treatment with ascorbic acid in a case of methemoglobinemia due to glucose-6-phosphate dehydrogenase deficiency. Turk Arch Pediatr.

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Recessive Hereditary Methemoglobinemia Type II in a Microcephalic Infant.

Clin Pediatr (Phila)

December 2024

Physiopathology of Anemias Unit, Hematology and CTMO Unit, Foundation IRCSS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.

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Glucose-6-phosphate dehydrogenase (G6PD) deficiency is the most common X-linked recessive red blood cell disease in humans. The highest prevalence of G6PD deficiency is reported to be in Africa, Southern Europe, the Middle East, Southeast Asia, and the islands of the Central and South Pacific. G6PD deficiency causes acute hemolysis upon exposure to oxidative stress.

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We describe the case of a 51-year-old Caucasian man with a background of a cardiac and renal transplant who developed Enterocytozoon bieneusi colitis and pneumocystis jirovecii (PJP) pneumonia following treatment for suspected rejection. The patient developed methemoglobinemia which was attributed to primaquine. He was treated with intravenous methylene blue leading to clinical and biochemical resolution.

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Acquired methemoglobinemia is a treatable condition that is often clinically subtle and can be missed on routine clinical assessment. We present a 73-year-old male who was evaluated in the emergency department with worsening respiratory symptoms requiring oxygen. He tested COVID-19 positive and had new pulmonary emboli evident on his CT chest.

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Article Synopsis
  • * The acquired form of this condition usually arises suddenly from exposure to certain drugs or toxic substances.
  • * A case study is presented involving a patient who experienced severe methaemoglobinaemia due to cocaine and amphetamine intoxication.
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Prevalence and phylogenetic traits of nitrite-producing bacteria in raw ingredients and processed baby foods: Potential sources of foodborne infant methemoglobinemia.

Food Res Int

February 2024

Department of Biotechnology, College of Life Sciences and Biotechnology, Korea University, Seoul 02841, Republic of Korea. Electronic address:

Article Synopsis
  • Nitrite is primarily seen as a chemical hazard that can cause methemoglobinemia in infants, but its presence in food due to nitrite-producing bacteria (NPBs) has not been thoroughly studied.
  • In this research, NPBs were isolated from 320 food samples including both raw ingredients and processed baby foods, revealing a significant presence of these bacteria, especially in beetroot and powdered infant formula.
  • The study also identified various phyla of NPBs and raised awareness about the potential microbiological risks associated with these bacteria in baby food, emphasizing the need for better recognition of such risks.
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Background: The occurrence of adverse drug events (ADEs) during dapsone (DDS) treatment in patients with leprosy can constitute a significant barrier to the successful completion of the standardized therapeutic regimen for this disease. Well-known DDS-ADEs are hemolytic anemia, methemoglobinemia, hepatotoxicity, agranulocytosis, and hypersensitivity reactions. Identifying risk factors for ADEs before starting World Health Organization recommended standard multidrug therapy (WHO/MDT) can guide therapeutic planning for the patient.

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Leprosy is a global health issue, causing long-term functional morbidity and stigma. Rapid diagnosis and appropriate treatment are important; however, early diagnosis is often challenging, especially in nonendemic areas. Here, we report a case of borderline lepromatous leprosy accompanied by dapsone-induced (neutropenia, anemia, and methemoglobinemia) and clofazimine-induced (skin discoloration and ichthyosis) side effects and type 1 leprosy reactions during administration of the multidrug therapy.

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Unravelling groundwater contamination and health-related implications in semi-arid and cold regions of India.

J Contam Hydrol

February 2024

Polymer Research Laboratory, Department of Chemistry, Acharya Narendra Dev College, (University of Delhi), Govindpuri, Kalkaji, New Delhi - 110019, India. Electronic address:

Groundwater, a vital global resource, is essential for sustaining life and various human activities. However, its quality and availability face increasing threats from both natural and human-induced factors. Widespread contamination, arising from both natural origins and human activities such as agriculture, industry, mining, improper waste disposal, and wastewater release, poses significant risks to human health and water security.

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Article Synopsis
  • Congenital methemoglobinemia is a rare inherited disorder that reduces oxygen delivery to tissues, and this case is the first reported instance in the Nepalese population.
  • A 33-year-old man exhibited symptoms such as low peripheral oxygen saturation levels and dark brown blood, with a methemoglobin level found to be 9%.
  • The disorder arises from a deficiency in the enzyme cytochrome b5 reductase, and distinguishing between type I and type II congenital methemoglobinemia is possible based on neurological symptoms; further testing is recommended for diagnosis.
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