An 8-year-old boy living in Long My (Can Tho) with severe methemoglobin poisoning caused the blood to turn from red to brown. save.
A boy with severe methemoglobin poisoning is being treated at Children’s Hospital 1. Photo: BV. New information received from Children’s Hospital 1 (Ho Chi Minh City) said that the hospital has just saved the life of an 8-year-old boy living in Long My (Can Tho) with severe methemoglobin poisoning. One week before hospitalization, the boy went to a dermatology examination, was given oral and applied by a doctor and applied drugs of unknown type for a week. At this time, the baby is still healthy, but by the afternoon of April 19, the boy complains of fatigue and his mother sees that his lips, fingertips, and feet are purple. Family members quickly put the baby in the Long My hospital, then moved to the Can Tho Children’s Hospital. At Can Tho Children’s Hospital, doctors quickly tested that the child’s blood was brown, not red when exposed to the air. Thereby, the doctors suspect that the pediatric patient has MetHemoglobin poisoning. The patient’s condition was severe and there was no specific antidote, so the hospital doctors decided to immediately refer the child to Children’s Hospital 1 for an emergency. Fortunately, Children’s Hospital 1 still has 1 tube of the antidote MethylenBlue. Immediately, the child was injected with an antidote. A few minutes after the injection, the child’s lips were rosy again, the limbs were all purple, the heart rate was normal, the oxygen saturation in the blood increased significantly … According to doctors, detoxification treatment with Methylene Blue is very effective, but Methylene Blue is very rare, almost not available in hospitals, so the treatment of severe Methemoglobin poisoning cases is difficult. In this situation, red blood cell replacement is an effective treatment for severe methemoglobinosis, contributing to the patient’s life-saving. According to the doctor, MetHemoglobin poisoning is often caused by drinking or exposure to common drugs and chemicals that cause Methemoglobin such as Nitrites in beets, well water … In addition, there are chlorates in gunpowder, medicine (Dapsone, Quinones, Sulfonamides), herbicide with Propanil, Aniline dye. Common symptoms of Methemoglobin poisoning are purple blue lips, purple fingertips, toes that have recently appeared, in severe cases there will be signs of systemic cyanosis, respiratory failure. Rapid test to diagnose and estimate MetHemoglobin concentration plays an important role in diagnosing Methemoglobin toxicity.
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