Out of the Blue: Methemoglobinemia Associated With the Use of Amyl Nitrite in Rush Poppers for Erectile Stimulation.

Autor: Idries IY; Internal Medicine, Brookdale University Hospital Medical Center, Brooklyn, USA., Khristoforov V; Internal Medicine, Brookdale University Hospital Medical Center, Brooklyn, USA., Duddala S; Research, Prathima Institute of Medical Sciences, Nagunur, IND., Duong YV; Research, University of Debrecen Medical School, Debrecen, HUN., Zaman M; Critical Care Medicine, Brookdale University Hospital Medical Center, Brooklyn, USA.
Jazyk: angličtina
Zdroj: Cureus [Cureus] 2023 Jun 30; Vol. 15 (6), pp. e41201. Date of Electronic Publication: 2023 Jun 30 (Print Publication: 2023).
DOI: 10.7759/cureus.41201
Abstrakt: We report a clinical scenario involving a 51-year-old male patient with a history of prediabetes and gastritis who exhibited altered mental status following the consumption of poppers, a supplement containing nitrites, which is used for erectile stimulation. Shortly after the ingestion, the patient experienced convulsions, foaming at the mouth, and subsequently developed altered mental status and severe respiratory distress. The diagnosis of methemoglobinemia was confirmed based on elevated methemoglobin levels on venous blood gas analysis. Notably, the patient's blood had a chocolate-colored appearance upon admission, which is a characteristic finding in methemoglobinemia. Prompt recognition and management, including the administration of methylene blue, led to the resolution of symptoms. This case highlights the potential complications associated with the consumption of poppers and emphasizes the importance of early intervention.
Competing Interests: The authors have declared that no competing interests exist.
(Copyright © 2023, Idries et al.)
Databáze: MEDLINE