Methemoglobinemia development after ingestion of a chinese herbal medicine: A case report

An 8-year-old girl visited the emergency room with perioral cyanosis and dyspnea, which had developed 20 hrs prior to the hospital visit. She had taken a Chinese herbal medication for 3 days prior to the onset of the symptoms. A co-oximeter examination revealed a methemoglobin level of 23.7%...

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Bibliographic Details
Main Authors: Se Eun Hyun, Pil Joo Hwang, Kyung Pil Nam, Eun Gyong Yoo, Man Yong Han
Format: Article
Language:English
Published: Korean Pediatric Society 2010-03-01
Series:Korean Journal of Pediatrics
Online Access:http://www.kjp.or.kr/upload/2009520319-20090453144953.PDF
Description
Summary:An 8-year-old girl visited the emergency room with perioral cyanosis and dyspnea, which had developed 20 hrs prior to the hospital visit. She had taken a Chinese herbal medication for 3 days prior to the onset of the symptoms. A co-oximeter examination revealed a methemoglobin level of 23.7%. An intravenous infusion of methylene blue was administered. Chemical analysis of the herbal medication revealed an ammonia (NH3) level of 239.41 mg/L. More studies are needed on the correlation between methemoglobinemia and the components of Chinese herbal medicines.
ISSN:1738-1061
2092-7258