title: Methemoglobinemia by cerium nitrate poisoning.
abstract: Cerium nitrate is a topical antiseptic used with silver sulfadiazine (Flammacerium) for the treatment of serious burns. This topical agent can induce methemoglobinemia, but no cases have been reported in the recent literature. In this article, we present the case of a 16-year old girl, with third-degree burns over 95% of her body. After daily dressings of Flammacerium, on the sixth day she developed a bluish skin coloring. When tested for methemoglobinemia, levels of 31.8% were found. These returned to normal after classic treatment with Methylene blue.
authors.affiliation: Centre de traitement des brûles, pavillon I, hôpital Edouard Herriot 69437, France. rachof@gmail.com
authors.forename: Rachid
authors.initials: R
authors.lastname: Attof
authors.forename: Attof
authors.initials: A
authors.lastname: Rachid
authors.forename: Christophe
authors.initials: C
authors.lastname: Magnin
authors.forename: Magnin
authors.initials: M
authors.lastname: Christophe
authors.forename: Marc
authors.initials: M
authors.lastname: Bertin-Maghit
authors.forename: Bertin-Maghit
authors.initials: BM
authors.lastname: Marc
authors.forename: Laure
authors.initials: L
authors.lastname: Olivier
authors.forename: Olivier
authors.initials: O
authors.lastname: Laure
authors.forename: Sylvie
authors.initials: S
authors.lastname: Tissot
authors.forename: Tissot
authors.initials: T
authors.lastname: Sylvie
authors.forename: Paul
authors.initials: P
authors.lastname: Petit
authors.forename: Petit
authors.initials: P
authors.lastname: Paul
mesh_terms: D000293:Adolescent; D000891:Anti-Infective Agents, Local / Q000506:poisoning*; D002056:Burns / Q000188:drug therapy*; D002563:Cerium / Q000506:poisoning*; D005260:Female; D006801:Humans; D008708:Methemoglobinemia / Q000139:chemically induced* / Q000628:therapy
chemical_list: D000891:Anti-Infective Agents, Local; C032786:cerium nitrate; D002563:Cerium