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Raj, Pahadiya Hans
- A Case of Severe Methemoglobinemia with Shock and High Saturation Gap Following Suicidal Ingestion of Sodium Nitrite-Saved by Oral Methylene Blue
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Authors
Affiliations
1 Department of Medicine, Dr. SNMC, Jodhpur - 342003, Rajasthan, IN
1 Department of Medicine, Dr. SNMC, Jodhpur - 342003, Rajasthan, IN
Source
Toxicology International (Formerly Indian Journal of Toxicology), Vol 22, No 3 (2015), Pagination: 147-150Abstract
Here we report a case of sodium nitrite ingestion for suicidal attempt, presented in unconsciousness, shock and deeply cyanosed condition. He was pulseless and had no recordable BP with methemoglobin level of 77% and saturation gap of 20. He was put on ventilator in ICU and treated with ionotropes, oral methylene blue and parental ascorbic acid. He completely recovered after two days with normal methemoglobin level. Survival in a case of methemoglobinemia with extremely high level of methemoglobin, non recordable BP and deep cyanosis is rarely reported. We report this case for awareness about the severity of signs and symptoms depend on the methemoglobin concentration in blood, false results of pulse oximetry and high saturation gap in methemoglobinemia, and about the management of the lethal effect of poisoning.Keywords
Methemoglobinemia, Oral Methylene Blue, Saturation Gap, Shock, Sodium Nitrite.References
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- Leukemoid Reaction in Patients with Echis carinatus Bite:A Two-Case Report
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Authors
Affiliations
1 Department of Medicine, Dr. SNMC, Jodhpur-342001, Rajasthan, IN
1 Department of Medicine, Dr. SNMC, Jodhpur-342001, Rajasthan, IN
Source
Toxicology International (Formerly Indian Journal of Toxicology), Vol 22, No 2 (2015), Pagination: 111-112Abstract
Snake bite is a major environmental hazard in the rural areas. Venom induced coagulopathy is a significant cause of both morbidity and mortality in these patients. Leukemoid reaction is a rare phenomenon after snake bite. Here we report two cases who developed venom induced coagulopathy and leukemoid reaction after viperine bite. These patients treated with anti snake venom, and completely recovered after 14 days. To the best of our knowledge, these are the first two cases report to do so.Keywords
Echis carinatus, Hemolysis, Leukemoid Reaction.References
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