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Ann Thorac Surg 2001;71:703-705
© 2001 The Society of Thoracic Surgeons

Case report

Drug-induced methemoglobinemia during thoracoscopic lung biopsy

David R. Lorelli, MDa, David E. Morris, MDa, Joseph W. Lewis, Jr, MDb

a Department of General Surgery, Henry Ford Hospital, Detroit, Michigan, USA
b Department of Thoracic Surgery, Henry Ford Hospital, Detroit, Michigan, USA

Accepted for publication March 24, 2000.

Address reprint requests to Dr Lewis, Department of Thoracic Surgery, Henry Ford Hospital, 2799 West Grand Blvd, Detroit, MI 48202
e-mail: drjwlewis{at}aol.com

Acquired methemoglobinemia occurs rarely in clinical practice. We present a case of a 57-year-old man who developed severe drug-induced methemoglobinemia after exposure to benzocaine spray and lidocaine jelly during intubation for an elective thoracoscopic lung biopsy. Information regarding the classifications, pathophysiology, diagnosis, and treatment of this entity is reviewed.




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