Hospital-acquired methemoglobinemia

Česká verzia

Authors: Jan Táborský ¹; Martin Střelka ¹; Marcela Káňová ²; Zdeněk Kořístek ³; Šárka Blahutová ³; Roman Černohorský ¹; Tomáš Mičkal ¹
Authors place of work: Interní oddělení Nemocnice Nový Jičín, a. s. ¹; Klinika anesteziologie, resuscitace a intenzivní medicíny LF OU a FN Ostrava ²; Klinika hematoonkologie LF OU a FN Ostrava ³
Published in the journal: Vnitř Lék 2020; 66(6): 46-52
Category: Case Report

Summary

Methemoglobinemia is rare condition of hem iron. Ferrous form iron (Fe2+) is oxidised to Ferric form (Fe3+). Methemoglobin has reduced ability to release oxygen to tissues and thereby leads to tissue hypoxia. We present case of patient with methemoglobinemia of unknown etiology. Methemoglobinemia developed during hospitalization. Diferent causes of methemoglobinemia and also a treatment possibilities are discussed.

Keywords:

ascorbic acid, local anesthetic – methemoglobinemia – Methylene blue

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