Case report: Methemoglobinemia caused by nitrobenzene poisoning

Nitrobenzene poisoning is uncommon, with most cases occurring in the dye, paint, and other chemical industries. Nitrobenzene enters the body mainly through the skin, respiratory tract, and oral cavity. Nitrobenzene poisoning symptoms include hypermethemoglobinemia, hemolytic anemia, liver and kidney...

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Main Authors: Liwen Zhao, Tianzi Jian, Longke Shi, Yaqian Li, Zixin Wen, Lanlan Guo, Qilu Li, Xiangdong Jian
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-02-01
Series:Frontiers in Medicine
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fmed.2023.1096644/full
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author Liwen Zhao
Liwen Zhao
Tianzi Jian
Tianzi Jian
Longke Shi
Longke Shi
Yaqian Li
Zixin Wen
Zixin Wen
Zixin Wen
Zixin Wen
Lanlan Guo
Lanlan Guo
Qilu Li
Xiangdong Jian
Xiangdong Jian
author_facet Liwen Zhao
Liwen Zhao
Tianzi Jian
Tianzi Jian
Longke Shi
Longke Shi
Yaqian Li
Zixin Wen
Zixin Wen
Zixin Wen
Zixin Wen
Lanlan Guo
Lanlan Guo
Qilu Li
Xiangdong Jian
Xiangdong Jian
author_sort Liwen Zhao
collection DOAJ
description Nitrobenzene poisoning is uncommon, with most cases occurring in the dye, paint, and other chemical industries. Nitrobenzene enters the body mainly through the skin, respiratory tract, and oral cavity. Nitrobenzene poisoning symptoms include hypermethemoglobinemia, hemolytic anemia, liver and kidney dysfunction, cardiogenic pulmonary edema, and toxic encephalopathy, which endanger people’s lives. Therefore, we present a case of nitrobenzene poisoning caused by skin absorption, focusing on its clinical characteristics and treatment outcomes. A 58 years-old man presented to our department with confusion and cyanosis. He has a history of hypertension and cerebral infarction. The patient was diagnosed with moderate occupational acute benzene poisoning with nitro compounds. Symptomatic support, methylene blue, and other antioxidant treatments were commenced after diagnosis. After treatment, the patient’s condition gradually improved, and he was discharged.
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spelling doaj.art-9b9ac9c8e0354af286e61a6d9a3dca4f2023-02-21T04:42:20ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2023-02-011010.3389/fmed.2023.10966441096644Case report: Methemoglobinemia caused by nitrobenzene poisoningLiwen Zhao0Liwen Zhao1Tianzi Jian2Tianzi Jian3Longke Shi4Longke Shi5Yaqian Li6Zixin Wen7Zixin Wen8Zixin Wen9Zixin Wen10Lanlan Guo11Lanlan Guo12Qilu Li13Xiangdong Jian14Xiangdong Jian15Department of Occupational and Environmental Health, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, Shandong, ChinaDepartment of Poisoning and Occupational Diseases, Emergency Medicine, Qilu Hospital, Cheeloo College of Medicine, Shandong University, Jinan, Shandong, ChinaDepartment of Poisoning and Occupational Diseases, Emergency Medicine, Qilu Hospital, Cheeloo College of Medicine, Shandong University, Jinan, Shandong, ChinaDepartment of Hematology, Qilu Hospital, Cheeloo College of Medicine, Shandong University, Jinan, Shandong, ChinaDepartment of Occupational and Environmental Health, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, Shandong, ChinaDepartment of Poisoning and Occupational Diseases, Emergency Medicine, Qilu Hospital, Cheeloo College of Medicine, Shandong University, Jinan, Shandong, ChinaDepartment of Poisoning and Occupational Diseases, Emergency Medicine, Qilu Hospital, Cheeloo College of Medicine, Shandong University, Jinan, Shandong, ChinaDepartment of Poisoning and Occupational Diseases, Emergency Medicine, Qilu Hospital, Cheeloo College of Medicine, Shandong University, Jinan, Shandong, ChinaSchool of Nursing and Rehabilitation, Cheeloo College of Medicine, Shandong University, Jinan, Shandong ChinaNursing Theory and Practice Innovation Research Center, Shandong University, Jinan, Shandong, ChinaDepartment of Nursing, Qilu Hospital of Shandong University, Jinan, Shandong ChinaDepartment of Occupational and Environmental Health, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, Shandong, ChinaDepartment of Poisoning and Occupational Diseases, Emergency Medicine, Qilu Hospital, Cheeloo College of Medicine, Shandong University, Jinan, Shandong, ChinaThe Hospital of Shandong University, Jinan, Shandong, ChinaDepartment of Occupational and Environmental Health, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, Shandong, ChinaDepartment of Poisoning and Occupational Diseases, Emergency Medicine, Qilu Hospital, Cheeloo College of Medicine, Shandong University, Jinan, Shandong, ChinaNitrobenzene poisoning is uncommon, with most cases occurring in the dye, paint, and other chemical industries. Nitrobenzene enters the body mainly through the skin, respiratory tract, and oral cavity. Nitrobenzene poisoning symptoms include hypermethemoglobinemia, hemolytic anemia, liver and kidney dysfunction, cardiogenic pulmonary edema, and toxic encephalopathy, which endanger people’s lives. Therefore, we present a case of nitrobenzene poisoning caused by skin absorption, focusing on its clinical characteristics and treatment outcomes. A 58 years-old man presented to our department with confusion and cyanosis. He has a history of hypertension and cerebral infarction. The patient was diagnosed with moderate occupational acute benzene poisoning with nitro compounds. Symptomatic support, methylene blue, and other antioxidant treatments were commenced after diagnosis. After treatment, the patient’s condition gradually improved, and he was discharged.https://www.frontiersin.org/articles/10.3389/fmed.2023.1096644/fullnitrobenzenemethemoglobinemiahemolytic anemiatoxic encephalopathycyanosis
spellingShingle Liwen Zhao
Liwen Zhao
Tianzi Jian
Tianzi Jian
Longke Shi
Longke Shi
Yaqian Li
Zixin Wen
Zixin Wen
Zixin Wen
Zixin Wen
Lanlan Guo
Lanlan Guo
Qilu Li
Xiangdong Jian
Xiangdong Jian
Case report: Methemoglobinemia caused by nitrobenzene poisoning
Frontiers in Medicine
nitrobenzene
methemoglobinemia
hemolytic anemia
toxic encephalopathy
cyanosis
title Case report: Methemoglobinemia caused by nitrobenzene poisoning
title_full Case report: Methemoglobinemia caused by nitrobenzene poisoning
title_fullStr Case report: Methemoglobinemia caused by nitrobenzene poisoning
title_full_unstemmed Case report: Methemoglobinemia caused by nitrobenzene poisoning
title_short Case report: Methemoglobinemia caused by nitrobenzene poisoning
title_sort case report methemoglobinemia caused by nitrobenzene poisoning
topic nitrobenzene
methemoglobinemia
hemolytic anemia
toxic encephalopathy
cyanosis
url https://www.frontiersin.org/articles/10.3389/fmed.2023.1096644/full
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