Unexplained Methemoglobinemia in Coronavirus Disease 2019: A Case Report

被引：15
|
作者：
Faisal, Hina [1 ]
Bloom, Alexi [2 ]
Gaber, A. Osama [2 ,3 ,4 ]
机构：
[1] Houston Methodist Hosp, Dept Surg & Crit Care, Houston, TX 77030 USA
[2] Houston Methodist Hosp, Dept Surg, Houston, TX 77030 USA
[3] Houston Methodist Hosp, Transplant Ctr, Houston, TX 77030 USA
[4] Weill Cornell Med Coll, New York, NY USA
来源：
A & A PRACTICE | 2020年 / 14卷 / 09期
关键词：
D O I：
10.1213/XAA.0000000000001287
中图分类号：
R614 [麻醉学];
学科分类号：
100217 ;
摘要：
Methemoglobinemia is a rare disorder of the blood in which there is an increase in methemoglobin, which occurs when hemoglobin is present in the oxidized form. Methemoglobin impairs hemoglobin's ability to transport oxygen, produces functional anemia, and leads to tissue hypoxia. We report the successful management of a case of refractory hypoxia due to acutely acquired methemoglobinemia in a patient undergoing treatment for coronavirus disease 2019 (COVID-19) pneumonia. The cause of methemoglobinemia in this patient remains unknown. Hypoxia and methemoglobinemia did not respond to methylene blue and required administration of packed red blood cell transfusions.
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页数：3
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