A Case Report of Prilocaine-Induced Methemoglobinemia after Liposuction Procedure
| Autor: | Ulku Karagoz, Şükrü Kasap, Birdal Yıldırım, Ömer Doğan Alataş, Emine Neşe Yeniçeri, Ethem Acar, Halil Beydilli, Ozgur Tanriverdi |
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| Jazyk: | angličtina |
| Rok vydání: | 2015 |
| Předmět: |
medicine.medical_specialty
Acrocyanosis business.industry medicine.medical_treatment lcsh:Medical emergencies. Critical care. Intensive care. First aid Case Report General Medicine lcsh:RC86-88.9 medicine.disease Methemoglobinemia Prilocaine Methemoglobin Surgery Blood pressure Oxygen therapy medicine Shivering Arterial blood medicine.symptom business medicine.drug |
| Zdroj: | Case Reports in Emergency Medicine Case Reports in Emergency Medicine, Vol 2015 (2015) |
| ISSN: | 2090-6498 2090-648X |
| Popis: | Prilocaine-induced methemoglobinemia is a rarely seen condition. In this paper, a case is presented with methemoglobinemia developed secondary to prilocaine use in a liposuction procedure, and the importance of this rarely seen condition is emphasized. A 20-year-old female patient presented with complaints of prostration, lassitude, shivering, shortness of breath, and cyanosis. It was learned that the patient underwent nearly 1000 mg prilocaine infiltration 8 hours priorly during a liposuction procedure. At admission, her blood pressure (130/80 mmHg), pulse rate (140 bpm), body temperature (36°C), and respiratory rate (40/min) were recorded. The patient had marked acrocyanosis. The arterial blood gas methemoglobin level was measured as 40%. The patient received oxygen therapy with a mask and was administered vitamin C in normal saline (500 mg tid), N-acetylcysteine (300 mg tid), and 50 mg 10% methylene blue in the intensive care unit of the internal medicine department. Methemoglobin level dropped down to 2% after her treatment with methylene blue and she was clinically cured and discharged 2 days later. Emergency service physicians should remember to consider methemoglobinemia when making a differential diagnosis between dyspnea and cyanosis developing after prilocaine infiltration performed for liposuctions in the adult age group. |
| Databáze: | OpenAIRE |
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