Methemoglobinemia development after ingestion of a chinese herbal medicine: A case report |
Se Eun Hyun1, Pil Joo Hwang1, Kyung Pil Nam2, Eun Gyong Yoo1, Man Yong Han1 |
1Department of Pediatrics, Pochon Medical College, Bundang CHA Hopital 2Department of Civil and Environment Engineering, Seoul National University |
한약 복용 후 발생한 메트헤모글로빈혈증 1예 |
현세은1, 황필주1, 남경필2, 유은경1, 한만용1 |
1포천중문의과대학교 소아과학교실 2서울대학교 건설환경공학부 |
Correspondence:
Man Yong Han, Email: drmesh@gmail.com |
Received: 18 August 2008 • Revised: 25 September 2008 • Accepted: 26 October 2008 |
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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. |
Key Words:
Methemoglobinemia, Nitrate, Ammonia, Chinese herbal medicines, Children |
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