commit d3d6c8ea9c817cdb80683096376f0a95e14f9595 Author: cristinaforde Date: Mon Aug 11 10:56:59 2025 +0000 Add 'A Blue Blood Toddler- a Case Report of Methemoglobinemia And Literature Review' diff --git a/A-Blue-Blood-Toddler--a-Case-Report-of-Methemoglobinemia-And-Literature-Review.md b/A-Blue-Blood-Toddler--a-Case-Report-of-Methemoglobinemia-And-Literature-Review.md new file mode 100644 index 0000000..78f223d --- /dev/null +++ b/A-Blue-Blood-Toddler--a-Case-Report-of-Methemoglobinemia-And-Literature-Review.md @@ -0,0 +1,7 @@ +
This case presentation describes a 1-12 months-old boy who developed sudden cyanosis and decreased consciousness disorder. An preliminary assessment showed decreased oxygen saturation (SpO2 85%) despite oxygen therapy, whereas level-of-care venous blood fuel (VBG) analysis assessed excessive charges of MetHb (72.7%). Methylene blue and ascorbic acid had been administered, resulting in in rapid clinical recovery and normalized VBG take a look at outcomes. The set off for this condition was not identified, nonetheless the most definitely trigger of poisoning was attributed to food oxidants. Starting from the description of a clinical case, this paper discusses the causes and mechanisms of doable poisoning and evaluations current guidelines for methemoglobinemia administration. A one-yr-old boy of Tunisian descent was dropped at the Pediatric Emergency Department, presenting with cyanosis, drowsiness, and desaturation. During the preliminary evaluation, the affected person was alert and responsive, with patent airways and a normal respiration pattern. Cardio-thoracic and abdominal examinations had been unremarkable. The affected person was discovered to have a blood pressure inside the traditional range (98/50 mmHg), mild tachycardia (HR: 165/min), tachypnea (RR: 50 breaths per minute) and hypoxia (SpO2 85%), despite administration of 100% oxygen via facemask.
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His past medical history revealed prematurity (born at 32 gestational weeks) with normal growth and neurological development. There was no parental consanguinity. He had a flat angioma on the left hemisphere, which was underneath follow-up. The mother reported that before the signs began, [BloodVitals device](https://registry.gametuoitho.vn/bertiemelba40) the child had been playing at dwelling in a effectively-ventilated room. He had no known allergies and was not taking any medications. There were no current symptoms reminiscent of cough, fever, or other considerations. His last meal, consumed about one hour before the occasion, consisted of beef meat and Swiss chard. No other individual within the family had consumed the same foods. Upon obtaining an arterial blood pattern, the shade of the blood was noted to be darkish brown. Venous blood gasoline analysis demonstrated abnormal findings together with markedly decreased PO2 (9 mmHg), decreased oxygen saturation (SO2 23.9%), [BloodVitals SPO2](https://git.olwen.xyz/lucretiaaponte) elevated lactate ranges (4.5 mmol/L), and [BloodVitals SPO2](http://giggetter.com/blog/19289/study-report-bloodvitals-spo2-the-ultimate-home-blood-monitoring-device/) a considerably elevated methemoglobin (MetHb) focus (72.7%). pH was 7.33 and PCO2 forty three mmHg.
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The patient’s hemoglobin degree was 11.8 g/dL, and the glucose degree was 121 mg/dL. Chest X-ray was unremarkable. Approximately 15 min after the patient’s arrival, his clinical condition rapidly deteriorated. At this level the affected person acquired intravenous methylene blue (MB) at a dose of 2 mg/kg over 5 min, which was repeated after 15 min. This intervention led to a speedy improvement in the patient’s clinical status, including normalization of consciousness, skin color, and oxygen saturation ranges. The affected person was then transferred to the Pediatric Intensive Care Unit for close monitoring. A blood gasoline analysis carried out 3 h later demonstrated a big discount in MetHb ranges to 2.9%. Throughout the observation interval, the child’s general situation remained consistently good. Treatment was continued with the administration of ascorbic acid (500 mg given twice every day for a complete of 16 doses). The next day, MetHb levels had returned to the normal vary at 1% and remained stable throughout continued commentary. Inflammatory markers, comparable to C-reactive protein and procalcitonin, have been unfavorable.
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The microbiological examinations of stool specimens (stool tradition, Enterobacteria, Enterovirus, Adenovirus, Rotavirus) resulted in damaging outcomes. 9.4) U/gr Hb) and analysis of hemoglobin variants with HPLC method didn't reveal any abnormalities. Given the normal basal levels of MetHb, [BloodVitals device](https://wiki.giroudmathias.ch/index.php?title=Top_6_Ways_To_Increase_Oxygen_In_Blood_Naturally) clinicians decided to not pursue further genetic investigations and as a substitute targeted on acquired causes of MetHb. Because the child had not taken any medications or been uncovered to any new substances, there was suspicion of meals poisoning. The case was reported to public well being authorities, who carried out an intensive evaluation on the meat that the baby had for lunch \ No newline at end of file