title: Occupational inhalation of aniline fumes induced methemoglobinemea and hemolytic anemia precipitated days later.
abstract: Methylene blue is utilized as the main treatment of methemoglobinemia. Here we report two cases, in which patient suffered from aniline-induced methemoglobinemia with initial good response but later developed haemolytic anemia due to methylene blue therapy. He was treated with hydration, high flow oxygen and steroid therapy. Caution should be exercised while using methylene blue as antidote of acute methemoglobinemia as both methemoglobinemia and its antidote methylene blue can itself precipitate fatal haemolytic anemia.
authors.affiliation: Department of General Medicine and Pharmacy Practice, J.S.S Medical College Hospital, J.S.S University, Mysore, India.
authors.forename: Ys
authors.initials: Y
authors.lastname: Ravi Kumar
authors.affiliation: Department of General Medicine and Pharmacy Practice, J.S.S Medical College Hospital, J.S.S University, Mysore, India.
authors.lastname: Manthappa
authors.affiliation: Department of General Medicine and Pharmacy Practice, J.S.S Medical College Hospital, J.S.S University, Mysore, India.
authors.forename: Prasanna
authors.initials: P
authors.lastname: Kumar
authors.affiliation: Department of General Medicine and Pharmacy Practice, J.S.S Medical College Hospital, J.S.S University, Mysore, India.
authors.forename: Mc
authors.initials: M
authors.lastname: Prasad
authors.affiliation: Department of General Medicine and Pharmacy Practice, J.S.S Medical College Hospital, J.S.S University, Mysore, India.
authors.forename: Ar
authors.initials: A
authors.lastname: Radhika
authors.affiliation: Department of General Medicine and Pharmacy Practice, J.S.S Medical College Hospital, J.S.S University, Mysore, India.
authors.forename: Amarendra Chowdary
authors.initials: AC
authors.lastname: Edara
keywords: Aniline poisoning; haemolytic anemia; methaemoglobinamea; methylene blue; occupational inhalation