Hospital-acquired methemoglobinemia

Czech version

Authors: Jan Táborský ¹; Martin Střelka ¹; Marcela Káňová ²; Zdeněk Kořístek ³; Šárka Blahutová ³; Roman Černohorský ¹; Tomáš Mičkal ¹
Authors‘ workplace: Interní oddělení Nemocnice Nový Jičín, a. s. ¹; Klinika anesteziologie, resuscitace a intenzivní medicíny LF OU a FN Ostrava ²; Klinika hematoonkologie LF OU a FN Ostrava ³
Published in: Vnitř Lék 2020; 66(6): 46-52
Category: Case Report

Overview

Methemoglobinemia is rare condition of hem iron. Ferrous form iron (Fe2+) is oxidised to Ferric form (Fe3+). Methemoglobin has reduced ability to release oxygen to tissues and thereby leads to tissue hypoxia. We present case of patient with methemoglobinemia of unknown etiology. Methemoglobinemia developed during hospitalization. Diferent causes of methemoglobinemia and also a treatment possibilities are discussed.

Keywords:

ascorbic acid, local anesthetic – methemoglobinemia – Methylene blue

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