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KMID : 0604020140290040341
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Korean Journal of Critical Care Medicine
2014 Volume.29 No. 4 p.341 ~ p.343
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Methemoglobinemia Caused by an Inert Ingredient after Intentional Ingestion of Pesticide
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Jeong Ru-Bi
Sohn Chang-Hwan
Seo Dong-Woo
Kim Won-Young
Ryoo Seung-Mok
Oh Bum-Jin
Lim Kyoung-Soo
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Abstract
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We report two cases of toxic methemoglobinemia caused by an inert ingredient in pesticide product after intentional ingestion of pesticide. First, 51-year-old male visited to the emergency department (ED) after the ingestion of pesticide in a suicide attempt. Initial methemoglobin (MetHb) level was 25.6%. We did not know the cause of methemoglobinemia at that time. Second, 56-year-old female visited to the ED after the ingestion of the same pesticide in a suicide attempt. MetHb level after 30 minutes was 16.1%. The patients were treated with methylene blue. We contacted to the Korean Rural Development Administration and estimated that magnesium nitrate was more likely to cause methemoglobinemia. This report highlights the importance of considering the possibility of methemoglobinemia caused by inert ingredient in pesticide and early antidotal therapy.
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KEYWORD
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methemoglobinemia, pesticides
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