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  • Title: Methaemoglobinaemia presenting with status epilepticus.
    Author: Malhotra R, Hughes G.
    Journal: J Accid Emerg Med; 1996 Nov; 13(6):427-30. PubMed ID: 9091107.
    Abstract:
    A case is reported of methaemoglobinaemia presenting with recurrent fits in the absence of cyanosis. A low oxygen saturation measured on pulse oximetry that fails to improve with oxygen treatment, the presence of "chocolate brown" blood that does not change on exposure to air, and a high PaO2 arterial blood gas with oxygen therapy should support such a diagnosis. A diagnostic blood methaemoglobin level should be obtained.
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