Cocaine and Volatile Nitrite–Induced Methemoglobinemia; a Case Report and Treatment Approach Review
Cyanosis is typically a sign of a potentially life-threatening condition in the emergency department and requires immediate workup and treatment. This case report highlights the diagnostic reasoning and clinical approach to cocaine- and volatile nitrite–induced methemoglobinemia (MHG). MHG is a rar...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Shahid Beheshti University of Medical Sciences
2022-09-01
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| Series: | Archives of Academic Emergency Medicine |
| Subjects: | |
| Online Access: | https://journals.sbmu.ac.ir/aaem/index.php/AAEM/article/view/1753 |
| _version_ | 1798031707739258880 |
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| author | Milena Ribeiro Paixão Tarso Augusto Duenhas Accorsi Luis Felipe Lopes Prada Lucas Zoboli Pocebon Karine De Amicis Lima Karen Francine Köhler Leandro Santini Echenique José Leão de Souza Júnior |
| author_facet | Milena Ribeiro Paixão Tarso Augusto Duenhas Accorsi Luis Felipe Lopes Prada Lucas Zoboli Pocebon Karine De Amicis Lima Karen Francine Köhler Leandro Santini Echenique José Leão de Souza Júnior |
| author_sort | Milena Ribeiro Paixão |
| collection | DOAJ |
| description |
Cyanosis is typically a sign of a potentially life-threatening condition in the emergency department and requires immediate workup and treatment. This case report highlights the diagnostic reasoning and clinical approach to cocaine- and volatile nitrite–induced methemoglobinemia (MHG). MHG is a rare, life-threatening cause of cyanosis. The diagnosis must be suspected in the emergency department in the presence of hypoxia and cyanosis disproportionate to cardiopulmonary repercussions and refractory to oxygen supplementation. Acquired causes are more prevalent than genetics, and recreational drugs should be highly suspected. Despite the rarity of this situation, cyanosis precipitants and the specificities of each hemoglobinopathy are reviewed in this article.
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| first_indexed | 2024-04-11T20:01:44Z |
| format | Article |
| id | doaj.art-d76c90ec2fd84d57b08e87f8cc8c7f81 |
| institution | Directory Open Access Journal |
| issn | 2645-4904 |
| language | English |
| last_indexed | 2024-04-11T20:01:44Z |
| publishDate | 2022-09-01 |
| publisher | Shahid Beheshti University of Medical Sciences |
| record_format | Article |
| series | Archives of Academic Emergency Medicine |
| spelling | doaj.art-d76c90ec2fd84d57b08e87f8cc8c7f812022-12-22T04:05:36ZengShahid Beheshti University of Medical SciencesArchives of Academic Emergency Medicine2645-49042022-09-0110110.22037/aaem.v10i1.1753Cocaine and Volatile Nitrite–Induced Methemoglobinemia; a Case Report and Treatment Approach ReviewMilena Ribeiro Paixão0Tarso Augusto Duenhas AccorsiLuis Felipe Lopes PradaLucas Zoboli PocebonKarine De Amicis LimaKaren Francine KöhlerLeandro Santini EcheniqueJosé Leão de Souza JúniorEmergency Department, Hospital Israelita Albert Einstein, Sao Paulo, Brazil Cyanosis is typically a sign of a potentially life-threatening condition in the emergency department and requires immediate workup and treatment. This case report highlights the diagnostic reasoning and clinical approach to cocaine- and volatile nitrite–induced methemoglobinemia (MHG). MHG is a rare, life-threatening cause of cyanosis. The diagnosis must be suspected in the emergency department in the presence of hypoxia and cyanosis disproportionate to cardiopulmonary repercussions and refractory to oxygen supplementation. Acquired causes are more prevalent than genetics, and recreational drugs should be highly suspected. Despite the rarity of this situation, cyanosis precipitants and the specificities of each hemoglobinopathy are reviewed in this article. https://journals.sbmu.ac.ir/aaem/index.php/AAEM/article/view/1753MethemoglobinemiaCocaineNitritesEmergency MedicineCase Report |
| spellingShingle | Milena Ribeiro Paixão Tarso Augusto Duenhas Accorsi Luis Felipe Lopes Prada Lucas Zoboli Pocebon Karine De Amicis Lima Karen Francine Köhler Leandro Santini Echenique José Leão de Souza Júnior Cocaine and Volatile Nitrite–Induced Methemoglobinemia; a Case Report and Treatment Approach Review Archives of Academic Emergency Medicine Methemoglobinemia Cocaine Nitrites Emergency Medicine Case Report |
| title | Cocaine and Volatile Nitrite–Induced Methemoglobinemia; a Case Report and Treatment Approach Review |
| title_full | Cocaine and Volatile Nitrite–Induced Methemoglobinemia; a Case Report and Treatment Approach Review |
| title_fullStr | Cocaine and Volatile Nitrite–Induced Methemoglobinemia; a Case Report and Treatment Approach Review |
| title_full_unstemmed | Cocaine and Volatile Nitrite–Induced Methemoglobinemia; a Case Report and Treatment Approach Review |
| title_short | Cocaine and Volatile Nitrite–Induced Methemoglobinemia; a Case Report and Treatment Approach Review |
| title_sort | cocaine and volatile nitrite induced methemoglobinemia a case report and treatment approach review |
| topic | Methemoglobinemia Cocaine Nitrites Emergency Medicine Case Report |
| url | https://journals.sbmu.ac.ir/aaem/index.php/AAEM/article/view/1753 |
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