Clinical and Experimental Pediatrics

The Korean Pediatric Society (대한소아청소년과학회)
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Methemoglobinemia development after ingestion of a chinese herbal medicine: A case report

한약 복용 후 발생한 메트헤모글로빈혈증 1예

  • Hyun, Se Eun (Department of Pediatrics, Pochon Medical College, Bundang CHA Hopital) ;
  • Hwang, Pil Joo (Department of Pediatrics, Pochon Medical College, Bundang CHA Hopital) ;
  • Nam, Kyung Pil (Department of Civil and Environment Engineering, Seoul National University) ;
  • Yoo, Eun Gyong (Department of Pediatrics, Pochon Medical College, Bundang CHA Hopital) ;
  • Han, Man Yong (Department of Pediatrics, Pochon Medical College, Bundang CHA Hopital)
  • 현세은 (포천중문의과대학교 소아과학교실) ;
  • 황필주 (포천중문의과대학교 소아과학교실) ;
  • 남경필 (서울대학교 건설환경공학부) ;
  • 유은경 (포천중문의과대학교 소아과학교실) ;
  • 한만용 (포천중문의과대학교 소아과학교실)
  • Received : 2008.08.18
  • Accepted : 2008.10.26
  • Published : 2009.03.15
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Abstract

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 (NH$_{3}$) level of 239.41 mg/L. More studies are needed on the correlation between methemoglobinemia and the components of Chinese herbal medicines.

8세 여아가 증상 발현 3일전부터 한약을 복용 후, 내원 20시간 전에 발생한 청색증과 호흡곤란을 주소로 응급실에 내원하였다. 내원 당시 메트헤모글로빈 수치가 23.7%로, 메트헤모글로빈혈증 진단 하에 methylene blue로 치료하였다. 한약 성분은 암모니아가 239.41 mg/L로 높게 측정되었다. 이에 한약 복용 후 발생한 메트헤모글로빈혈증 1예를 보고하고자 한다.

Keywords

References

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