Delayed sulfhemoglobinemia after acute dapsone intoxication

J Toxicol Clin Toxicol. 1982 Mar;19(1):45-50. doi: 10.3109/15563658208990365.

Abstract

A case of acute Dapsone intoxication due to voluntary ingestion of 3 g of this drug as a suicide attempt is described. A severe methemoglobinemia developed, accompanied by intense cyanosis, dyspnea, headache, and nausea. Subsequently, significant sulfhemoglobinemia responsible for prolonged cyanosis was observed, as well as mild hemolytic anemia. Relapses of methemoglobinemia after methylene blue treatment required repeated administration of the reducing agent. The need of a careful follow-up for several days in this type of intoxication is emphasized.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Dapsone / poisoning*
  • Humans
  • Male
  • Methemoglobinemia / drug therapy
  • Methylene Blue / therapeutic use
  • Suicide, Attempted
  • Sulfhemoglobinemia / chemically induced*
  • Time Factors

Substances

  • Dapsone
  • Methylene Blue