Methemoglobinemia due to prilocaine during neonatal circumcision: a case report
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Case report
VOLUME: 5 ISSUE: 1
P: 65 - 68
2015

Methemoglobinemia due to prilocaine during neonatal circumcision: a case report

J Dr Behcet Uz Child Hosp 2015;5(1):65-68
1. Department Of Neonatology, Tepecik Training And Research Hospital, Yenişehir, İzmir, Turkey.
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Received Date: 2014-06-16T23:32:30
Accepted Date: 2015-04-23T13:11:08
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Abstract

Methemoglobinemia, which may cause cyanosis in the neonatal period, is a rare hematological disorder. Methemoglobinemia may occur in congenital and acquired conditions. Drugs are the most reason of methemoglobinemia in newborns. It is reported that prilocaine, is widely used as a local anesthetic, may causes acquired methemoglobinemia in the neonatal period. A 10-hour-old newborn, who became cyanotic after applying prilocaine as a local anesthetic before the circumcision, was diagnosed with methemoglobinemia and successfully treated with intravenous ascorbic acid therapy. In this study, methemoglobinemia, which is a rare clinical condition, and its treatment are discussed and presented with the literature.

Keywords:
Ascorbic acid, methemoglobinemia, prilocaine, circumcision, newborn