Green skin discoloration associated with multiple organ failure.
OBJECTIVE
To report intense green hyperpigmentation related to FD & C Blue No. 1.


METHODS
Retrospective case review.


METHODS
Surgical intensive care unit.


METHODS
A 67-yr-old woman with unstable angina, electrocardiographic S-T segment elevation, and a left ventricle thrombus requiring emergent coronary revascularization surgery.


METHODS
Postoperative monitoring and treatment for multiple organ dysfunction that included small-bowel tube feeding and propofol sedation.


RESULTS
The patient developed an intense green skin color.


CONCLUSIONS
Patients with multiple organ failure may be at risk for unusual pigmentation effects from tube feeding dyes.
Czop
Michael
M
Department of Pharmacy, Washington Hospital Center, DC, USA. mczop@hotmail.com
Herr
Daniel L
DL
D058186:Acute Kidney Injury / Q000150:complications / Q000628:therapy; D000368:Aged; D000701:Analgesics, Opioid / Q000009:adverse effects; D001557:Benzenesulfonates / Q000009:adverse effects*; D004396:Coloring Agents / Q000009:adverse effects*; D004750:Enteral Nutrition / Q000009:adverse effects*; D005260:Female; D006801:Humans; D017495:Hyperpigmentation / Q000209:etiology*; D007565:Jaundice / Q000150:complications; D017114:Liver Failure, Acute / Q000150:complications / Q000628:therapy; D009102:Multiple Organ Failure / Q000150:complications / Q000628:therapy*; D015742:Propofol / Q000009:adverse effects
D000701:Analgesics, Opioid; D001557:Benzenesulfonates; D004396:Coloring Agents; C006796:brilliant blue; D015742:Propofol