Pediatr. praxi. 2024;25(5):318-320 | DOI: 10.36290/ped.2024.061
Nitrate food poisoning in infant
- Dětská klinika LF a FN Hradec Králové
We present a case report of severe methemoglobinemia in infant caused by poisoning of nitrates from the beetroot cooked in water from private well. It was manifestated by unconsciousness, tachycardia, grey-bluish discoloration of the skin and mucous membranes. The arteficial ventilation was needed. There was metabolic lactate acidosis, normal counted oxygen saturation in blood gases analysis, but low measured oxygen saturation by pulse oxymeter. Diagnosis of methemoglobinemia was clear after confirmation of hight level of methemoglobin in blood (67 %). The child was treated by methylen blue, which had very prompt effect on clinical condition, the level of methemoglobin gradually normalized. We still have to think of the possibility of rare, but easily development of nitrate food poisoning from water and food served to infants.
Keywords: methemoglobinemia, nitrates, nitrites, methylen blue.
Accepted: October 21, 2024; Published: November 15, 2024 Show citation
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