Yılmaz, Özlem Çakmak Samsun Maternity and Child Health Hospital, Turkey , Keskin, Ebru Yılmaz Samsun Education and Research Hospital - Pediatric Hematology and Oncology, Turkey , Yiğithan, Ayhan Samsun Maternity and Child Health Hospital, Turkey , Keskin, Mahmut Samsun Education and Research Hospital - Pediatric Cardiology, Turkey

Sudden Onset of Life-Threatening Methaemoglobinaemia After Intake of Inappropriately Stored Vegetable (Collard Greens) Meal in a 2.5-Year-Old Child

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Acquired methaemoglobinaemia most commonly occurs due to intake of or contact to certain drugs, such as local anesthetics. However, intake of certain vegetables which are essential for a healthy diet may also cause methaemoglobinaemia due to their high nitrate or nitrite content, and prolonged and inappropriate storage after preparation of vegetable meals increases the risk. We present a 2.5-year-old girl with Down’s syndrome who presented with central cyanosis due to severe methaemoglobinemiae with a methaemoglobin level of 62% after intake of collard greens (Brassica oleracea var. acephala) soup. Although development of methaemoglobinaemia after food intake has been reported rarely before, recognition of this potentially life-threatening condition early in its course may be life-saving.

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Methaemoglobinaemia , vegetable intake , nitrate , nitrite

Cukurova Medical Journal

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