Methemoglobinemia after local anesthesia with prilocaine in adults: four case reports

Year 2024, Volume: 10 Issue: 2, 249 - 253, 04.03.2024

Meltem Yılmaz Arif İşcan Levent Mutlu

https://doi.org/10.18621/eurj.1208264

Abstract

Methemoglobinemia is a serious hematological disease characterized by the incapability of sufficient oxygen delivery to tissues and cyanosis when iron within hemoglobin in ferrous form (Fe+2) is oxidized to ferric form (Fe+3). Methemoglobinemia may be congenital or acquired. While prilocaine-induced methemoglobinemia can be seen in newborns and early pediatric ages, it is a rare condition in adults. We aimed to investigate prilocaine-induced adult methemoglobinemia with four cases.

Keywords

Adult, methemoglobinemia, prilocaine, cyanosis

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