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http://dx.doi.org/10.3345/kjp.2009.52.3.385

Methemoglobinemia development after ingestion of a chinese herbal medicine: A case report  

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)
Publication Information
Clinical and Experimental Pediatrics / v.52, no.3, 2009 , pp. 385-388 More about this Journal
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.
Keywords
Methemoglobinemia; Nitrate; Ammonia; Chinese herbal medicines; Children;
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