Mine AKIN, Gülsen KESKİN, Betül TAVİL, Arife TOKSÖZ, Ümmü AYDOĞMUŞ

Sünnet Öncesi Uygulanan Lokal Prilokaine Bağlı Gelişen Bir Methemoglobinemi Olgusu

Methemoglobin (MetHb), hemoglobin molekülündeki Fe+2’nin Fe+3 şeklinde okside formda olmasını tanımlar. Konjenital ya da edinsel olabilir. Edinsel methemoglobinemi yapan çok sayıda ajan bilinmektedir. Kan MetHb düzeyi %55’in üzerinde ise fatal seydedebilir. Acil müdahale gereklidir. Burada prilokaine bağlı methemoglobinemi gelişen 4 aylık bir erkek hasta sunulmuştur. Tedavide kullanılan metilen mavisi ile dramatik bir düzelme sağlanmış ve hayat kurtarıcı olmuştur.

Anahtar Kelimeler:

Çocuklar, Lokal anestezi, Methemoglobinemi, Prilokain, Sünnet

A Case of Methemoglobinemia Developing Due to Local Prilocaine Usage Prior to Circumcision

Methemoglobinemia is a disorder characterized by the presence of a higher than normal level of ferric (Fe+3) rarer man ferrous (Fe+2) hemoglobin. It may be in two forms, congenital or acquired methemoglobinemia. It is known that many agents can cause acquired methemoglobinemia. If the blood methemoglobin level reaches 55%, it can be lethal. Prompt care is needed in this situation. Here, a 4-month-old boy with acquired methemoglobinemia due to prilocaine use is presented. Methylene blue was used in the treatment of this case. The treatment enabled a dramatic improvement and was life saving

Keywords:

Children, Local anesthesia, Methemoglobinemia, Prilocaine, Circumcision,

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