Methemoglobinemia secondary to automobile exhaust fumes

Journal Article · Tue Sep 01 00:00:00 EDT 1992 · American Journal of Emergency Medicine; (United States)

DOI:https://doi.org/10.1016/0735-6757(92)90068-9· OSTI ID:7159251

Laney, R F; Hoffman, R S ^[1]

---

1. Department of Emergency Medicine, Morristown Memorial Hospital, NJ (United States)

Methemoglobinemia is an uncommon cause of cyanosis. A 28-year-old male presented to the emergency department cyanotic and short of breath after exposure to noxious automobile fumes. He did not improve with the administration of 100% oxygen therapy. The initial arterial blood gas with cooximetry was: pH of 7.38, PaCO2 of 43 mm Hg, PaO2 of 118 mm Hg, measured oxygen saturation of 70%, and a methemoglobin level of 24.8%. Methylene blue was given (2 mg/kg intravenously) and the patient's symptoms resolved. On the following day he was discharged home without complication. A comprehensive review of the literature revealed no reported cases of methemoglobinemia secondary to accidental exposure to exhaust fumes.17 references.

• OSTI ID: 7159251
• Journal Information: American Journal of Emergency Medicine; (United States), Vol. 10:5; ISSN 0735-6757
• Country of Publication: United States
• Language: English

Related Subjects

63 RADIATION, THERMAL, AND OTHER ENVIRON. POLLUTANT EFFECTS ON LIVING ORGS. AND BIOL. MAT.
AUTOMOBILES
EXHAUST GASES
TOXICITY
HEMIC DISEASES
INHALATION
MAN
METHEMOGLOBIN
METHYLENE BLUE
SYMPTOMS
AMINES
ANIMALS
ANTI-INFECTIVE AGENTS
ANTIMICROBIAL AGENTS
AZINES
CARBOXYLIC ACIDS
CHLORIDES
CHLORINE COMPOUNDS
DISEASES
DRUGS
FLUIDS
GASEOUS WASTES
GASES
GLOBINS
HALIDES
HALOGEN COMPOUNDS
HEMOGLOBIN
HETEROCYCLIC ACIDS
HETEROCYCLIC COMPOUNDS
INTAKE
MAMMALS
ORGANIC ACIDS
ORGANIC COMPOUNDS
ORGANIC NITROGEN COMPOUNDS
ORGANIC SULFUR COMPOUNDS
PHENOTHIAZINES
PIGMENTS
PORPHYRINS
PRIMATES
PROTEINS
VEHICLES
VERTEBRATES
WASTES
560300* - Chemicals Metabolism & Toxicology