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Thinner intoxication manifesting as methemoglobinemia
1Department of Pediatrics UCMS & GTB Hospital, Delhi, India. sanjay06verma@yahoo.com
Indian Journal of Pediatrics
|April 7, 2009
Summary
Accidental ingestion of household paint thinner can cause methemoglobinemia, a rare but serious condition. Prompt oxygen therapy and monitoring led to a child
Area of Science:
- Toxicology
- Pediatric Medicine
- Emergency Medicine
Background:
- Household paint thinners contain aromatic hydrocarbons, halogenated hydrocarbons, and naphtha.
- Ingestion of these substances can rarely lead to methemoglobinemia.
Observation:
- A 3-year-old child accidentally ingested paint thinner.
- The child presented with cyanosis, tachypnea, and chocolate brown blood.
- Methemoglobin levels were elevated, confirming the diagnosis.
Findings:
- The child was diagnosed with methemoglobinemia following thinner ingestion.
- Conservative management with oxygen therapy and vital monitoring was initiated.
Implications:
- This case highlights the potential for severe toxicity from common household products.
- Early recognition and conservative management are crucial for favorable outcomes in pediatric methemoglobinemia cases.
- Awareness among caregivers regarding the risks of ingesting paint thinners is essential.
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