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Pubmed for Handhelds

PUBMED FOR HANDHELDS

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  • Title: An unusual complication of cocaine toxicity.
    Author: Houghton L, Jones Q, Wathen C.
    Journal: Acute Med; 2013; 12(2):96-7. PubMed ID: 23732133.
    Abstract:
    A 25-year man presented to the Accident and Emergency Department complaining of dizziness and shortness of breath after taking 70 grams of cocaine over 10 hours. He said a friend had noticed that his skin had turned dark blue. On examination the patient was severely centrally and peripherally cyanosed. His pulse oximeter oxygen saturations were 88% on air. An arterial blood gas showed a methaemoglobin level of 45.6%. The patient was diagnosed with cocaine-induced methaemoglobinaemia and given methyl thioninium chloride (methylene blue). He made an uneventful recovery.
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