Acute dapsone poisoning with methemoglobinemia: a case report

被引：2
作者：
El Hamzaoui, Hamza [1 ]
Chajai, Idriss [1 ]
El Ouazzani, Mohamed Chahidi [1 ]
Benhalima, Abdelkader [1 ]
El Arfaoui, Manal [1 ]
Alilou, Mustapha [1 ]
机构：
[1] Univ Mohamed V Rabat, Fac Med & Pharm Rabat, Emergency Dept, CHU Ibn Sina, Rabat, Morocco
来源：
PAN AFRICAN MEDICAL JOURNAL | 2022年 / 43卷
关键词：
Poisoning; dapsone; methemoglobinemia; case report;
D O I：
10.11604/pamj.2022.43.20.34069
中图分类号：
R1 [预防医学、卫生学];
学科分类号：
1004 ; 120402 ;
摘要：
Methemoglobinemia is a common complication of dapsone poisoning. Its acute accent treatment usually relies on methylene blue infusion. The aim of this study was to report a case of an acute dapsone poisoning with methemoglobinemia treated only with ascorbic acid and activated charcoal. A 16-year-old female voluntary ingested 3 grams of dapsone in an atempt of suicide and presented with desaturation and tachypnea. Lab findings were compatible with methemoglobinemia. After two days of treatment with ascorbic acid and activated charcoal, we observed the disappearance of desaturation and tachypnea. Methemoglobinemia can be treated with ascorbic acid and activated charcoal in limited resource settings.
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