Home > Pop goes the O2: a case of popper-induced methaemoglobinamia.

McCabe, Aileen and McCann, Brendan and Kelly, Paul (2012) Pop goes the O2: a case of popper-induced methaemoglobinamia. BMJ Case Reports, 10.1136/bcr-2012-007176.

External website: http://casereports.bmj.com/content/2012/bcr-2012-0...

A 39-year-old man presented to the emergency department after falling downstairs after he consumed a large quantity of alcohol. On examination, he had altered mental state (GCS 14), central cyanosis and low oxygen saturation of 86%, despite 100% oxygen being administered. His arterial blood gas confirmed diagnosis of methaemoglobinaemia with a methaemoglobin percentage of 14.08. He was treated successfully with methylthioninium chloride. The patient later admitted to use of recreational poppers (amyl nitrates) the previous evening. The emergency physician is challenged by the presentation of a patient with altered mental state and unexplained low oxygen saturation with concurrent alcohol intoxication but must have a high index of suspicion for methaemoglobinaemia particularly with a history of recreational drug ingestion

Item Type
Publication Type
Irish-related, Open Access, Article
Drug Type
New psychoactive substance
Intervention Type
Harm reduction
November 2012
Identification #
BMJ Group
Accession Number
HRB (Electronic Only)

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