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{ "pk": 662, "title": "Code Blue: Life-threatening Methemoglobinemia", "subtitle": null, "abstract": "Most cases of acquired methemoglobinemia result from exposure to certain drugs or toxins. One of the more common and well-described causes in the literature is exposure to topical benzocaine during medical procedures. We present a case series of acute acquired methemoglobinemia from a food source that has not been previously described in the literature: a dessert. Three patients, ages 5, 33, and 86 years, were brought to our emergency department by ambulance after becoming extremely ill from ingesting a dessert containing nitre powder at a family gathering. They all presented with hypotension, cyanosis, and hypoxia that was not responsive to oxygen administration. The adult patients had major improvement of symptoms after a single dose of methylene blue. In contrast, the 5-year-old child who had the worst symptoms minimally improved with administration of two doses of methylene blue requiring intensive care admission and transfer to a tertiary care center.", "language": "en", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [], "section": "Case Series", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/7xb835kj", "frozenauthors": [ { "first_name": "José", "middle_name": "D.", "last_name": "Ponce Ríos", "name_suffix": "", "institution": "Lowell General Hospital, Department of Pediatric Emergency Medicine,\nLowell, Massachusetts", "department": "None" }, { "first_name": "Rothsovann", "middle_name": "", "last_name": "Yong", "name_suffix": "", "institution": "Lowell General Hospital, Department of Emergency Medicine, Lowell, Massachusetts", "department": "None" }, { "first_name": "Paul", "middle_name": "", "last_name": "Calner", "name_suffix": "", "institution": "Lowell General Hospital, Department of Emergency Medicine, Lowell, Massachusetts", "department": "None" } ], "date_submitted": "2019-03-07T20:45:47Z", "date_accepted": "2019-03-07T20:45:47Z", "date_published": "2019-03-27T19:36:24Z", "render_galley": null, "galleys": [ { "label": "", "type": "", "path": "https://journalpub.escholarship.org/uciem_cpcem/article/662/galley/421/download/" } ] }