https://scholars.lib.ntu.edu.tw/handle/123456789/529910
標題: | Near-fatal methemoglobinemia after recreational inhalation of amyl nitrite aerosolized with a compressed gas blower | 作者: | Lin C.-H. CHENG-CHUNG FANG CHIEN-CHANG LEE PATRICK CHOW-IN KO WEN-JONE CHEN |
公開日期: | 2005 | 卷: | 104 | 期: | 11 | 起(迄)頁: | 856-859 | 來源出版物: | Journal of the Formosan Medical Association | 摘要: | Adverse effects associated with recreational inhalation of nitrites are usually mild and rarely life-threatening. We report a rare case of near-fatal methemoglobinemia after inhalation of amyl nitrite after aerosolizing the liquid using a compressed gas blower designed to clean photographic equipment that employed hydrofluoroalkane-134a as a propellant. A 31-year-old previously healthy male became dyspneic and fainted soon after the recreational inhalation of amyl nitrite aerosolized using a compressed gas blower. He was brought to the emergency department with severe cyanotic appearance and profound shock. Oxygen saturation was 82%, unresponsive to oxygen supply. His methemoglobin blood level was 52.2%. After 100 mg of methylene blue (2 mg/kg body weight) was administered intravenously, he recovered consciousness, and dyspnea and cyanosis subsided gradually. This case illustrates the extraordinary hazard of the use of a compressed gas blower in the recreational inhalation of nitrites. Prompt recognition and rapid antidotal treatment may adequately correct near-fatal overdose associated with recreational use of amyl nitrite. |
URI: | https://scholars.lib.ntu.edu.tw/handle/123456789/529910 | ISSN: | 0929-6646 | SDG/關鍵字: | amyl nitrite; methemoglobin; methylene blue; methylene blue; street drug; adult; aerosol; article; body weight; case report; consciousness; cyanosis; dyspnea; emergency ward; human; male; methemoglobinemia; oxygen saturation; oxygen supply; shock; chemically induced disorder; Adult; Aerosols; Amyl Nitrite; Humans; Male; Methemoglobinemia; Methylene Blue; Street Drugs |
顯示於: | 醫學院附設醫院 (臺大醫院) |
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