title: Green skin discoloration associated with multiple organ failure.
abstract: 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.
authors: Department of Pharmacy, Washington Hospital Center, DC, USA. mczop@hotmail.com
authors: Michael
authors: M
authors: Czop
authors: Daniel L
authors: DL
authors: Herr
mesh_terms: 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
chemical_list: D000701:Analgesics, Opioid; D001557:Benzenesulfonates; D004396:Coloring Agents; C006796:brilliant blue; D015742:Propofol