methemoglobinemia development after ingestion of a chinese herbal medicine: a case report

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2010
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Abstract
An 8-year-old girl visited the emergency room with perioral cyanosis and dyspnea, which had developed 20 hrs prior to the hospital visit. She had taken a Chinese herbal medication for 3 days prior to the onset of the symptoms. A co-oximeter examination revealed a methemoglobin level of 23.7%. An intravenous infusion of methylene blue was administered. Chemical analysis of the herbal medication revealed an ammonia (NH3) level of 239.41 mg/L. More studies are needed on the correlation between methemoglobinemia and the components of Chinese herbal medicines.
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Authors ;Se Eun Hyun;Pil Joo Hwang;Kyung Pil Nam;Eun Gyong Yoo;Man Yong Han
Journal critical care nursing quarterly
Year 2010
DOI 10.3345/kjp.2009.53.3.385
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