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KMID : 1130320090520030385
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Korean Journal of Pediatrics
2009 Volume.52 No. 3 p.385 ~ p.388
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Methemoglobinemia development after ingestion of a chinese herbal medicine: A case report
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Hyun Sei-Eun
Hwang Pil-Joo
Nam Kyung-Pil
Yoo Eun-Gyong
Han Man-Yong
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Abstract
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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.
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KEYWORD
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Methemoglobinemia, Nitrate, Ammonia, Chinese herbal medicines, Children
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