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Acquired Methemoglobinemia in an infant

Author: 
Dr. Rajni Dawar, Dr. Manushri Sharma, Dr. Anita Devi and Dr. Nilesh Sharma
Subject Area: 
Health Sciences
Abstract: 

The presentation of methemoglobinemia in emergency care setting can be nonspecific and thereby difficult to diagnose. Cyanosis being a presentation it sometimes leads to unnecessary invasive procedures. Acquired Methemoglobinemia is a common entity and its incidence is much more than documented. Almost 100 compounds have been identified to cause Methemoglobinemia. So, close observation of clinical symptoms with saturation gap between oxygen saturation on pulse oximetry and arterial blood gas analysis, followed by confirmation by methemoglobin levels wherever available can help in diagnosis. Prompt diagnosis and treatment with removal of causative agents leads to good prognosis. Physicians and other health care workers should be made aware and should always consider this in differential diagnosis of cyanosis not responding to 100% oxygen

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