Methemoglobinemia: nitrobenzene ingestion

JACEP. 1978 Nov;7(11):406-8. doi: 10.1016/s0361-1124(78)80163-4.

Abstract

In an unusually severe case of multiple toxin ingestion, a 48-year-old man ingested approximately 300 cc of Hoppe's Gunpower Solvent #9, which contains kerosene, denatured ethyl alcohol, oil and nitrobenzene. The major manifestation was nitrobenzene-induced methemoglobinemia of rapid onset. Treatment involves the judicious use of 1% methylene blue plus, in severe cases, hemodynamic and ventilatory support. The patient recovered after 48 hours and was transferred to the psychiatric service with continued follow-up for a mild poison-induced hemolytic anemia.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Anemia, Hemolytic / chemically induced
  • Combined Modality Therapy
  • Drug Combinations
  • Emergencies
  • Humans
  • Male
  • Methemoglobinemia / chemically induced*
  • Methemoglobinemia / diagnosis
  • Methemoglobinemia / therapy
  • Middle Aged
  • Nitrobenzenes / poisoning*
  • Poisoning / diagnosis
  • Poisoning / etiology
  • Poisoning / therapy
  • Solvents / poisoning*

Substances

  • Drug Combinations
  • Nitrobenzenes
  • Solvents