Methaemoglobinemia Induced by Poppers and Bupropion Intoxication in the Emergency Department | Zendy

Frederico Batista | Zendy; Carlos Alves | Zendy; Miguel Trindade | Zendy; Joana Azevedo Duarte | Zendy; Ricardo Rafael Marques | Zendy

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Methaemoglobinemia Induced by Poppers and Bupropion Intoxication in the Emergency Department

Author(s) -

Frederico Batista,

Carlos Alves,

Miguel Trindade,

Joana Azevedo Duarte,

Ricardo Rafael Marques

Publication year - 2019

Publication title -

european journal of case reports in internal medicine

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.125

H-Index - 1

ISSN - 2284-2594

DOI - 10.12890/2019_001072

Subject(s) - medicine , emergency department , bupropion , anesthesia , cocaine use , methylene blue , methemoglobin , emergency medicine , psychiatry , hemoglobin , biochemistry , chemistry , pathology , photocatalysis , smoking cessation , catalysis

Distinguishing toxidromes is critical for adequate treatment of patients with drug intoxication; the most common side effect of bupropion consumption is dose-dependent seizures.The diagnosis of methaemoglobinemia requires a high index of suspicion, particularly in a patient presenting with central cyanosis not responding to supplementary oxygen.Treatment with methylene blue is recommended when the percentage of methaemoglobin is above 30% or when the patient has symptoms related to methaemoglobinemia.

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