TY - JOUR PY - 2021// TI - Fatal methaemoglobinaemia due to intentional sodium nitrite poisoning JO - Acute medicine A1 - Huntington, G. R. A1 - Pennington, J. M. SP - 148 EP - 150 VL - 20 IS - 2 N2 - We report a case of fatal methaemoglobinaema resulting from sodium nitrite poisoning. A 28 year old woman arrested in the emergency department following collapse. During resuscitation a venous blood gas revealed a methaemoglobin percentage of 81%. Following treatment with methylene blue, sodium bicarbonate and adrenaline, the methaemoglobin decreased. Prior to transfer to intensive care, a CT head revealed extensive hypoxic brain injury. Two days later brain death was confirmed on brainstem testing. Severe methaemoglobinaemia is rapidly fatal, with fast diagnosis and treatment associated with improved outcomes.
Language: en
LA - en SN - 1747-4884 UR - http://dx.doi.org/ ID - ref1 ER -