0
Article |

Benzocaine-Induced Methemoglobinemia FREE

Philip L. Townes, MD, PhD; Martin A. Geertsma, MD; Marie R. White
[+] Author Affiliations

Reprint requests to Division of Genetics, University of Rochester School of Medicine and Dentistry, 601 Elmwood Ave, Rochester, NY 14642 (Dr Townes).


Am J Dis Child. 1977;131(6):697-698. doi:10.1001/archpedi.1977.02120190091021.
Text Size: A A A
Published online

• Severe methemoglobinemia developed in a healthy 14-month-old infant following the topical application of a benzocaine-containing gel administered for the relief of the discomfort of teething.

Congenital methemoglobinemia and hemoglobin M disease were excluded by appropriate laboratory studies. The patient is considered to have a normal methemoglobin-reducing capacity and her response to the drug is one that presumably could occur in any other child of comparable age on receiving an equivalent dose of benzocaine. Parents should be cautioned against the indiscriminate use of similar medications, particularly since the process for which these medications are administered is both benign and physiologic.

(Am J Dis Child 131:697-698, 1977)

REFERENCES

Finch CA:  Methemoglobinemia and sulfhemoglobinemia . N Engl J Med 239:470-478, 1948;.
Link to Article
Townes PL, Lovell GR:  Hereditary methemoglobinemia: A new variant exhibiting dominant inheritance of methemoglobin A . Blood 18:18-33, 1961;.
Townes PL, Morrison M:  Investigation of the defect in a variant of hereditary methemoglobinemia . Blood 19:60-74, 1962;.
Ocklitz HW:  Anaesthesinvergiftung beim Säugling . Med Klin 44:806-809, 1949;.
Bernstein BM:  Cyanosis following use of Anesthesin (ethyl-aminobenzoate) . Rev Gastroenterol 17:123-124, 1950;.
Goluboff N, MacFadyen DJ:  Methemoglobinemia in an infant: Associated with application of a tar-benzocaine ointment . J Pediatr 47:222-226, 1955;.
Link to Article
Goluboff N:  Methemoglobinemia due to benzocaine . Pediatrics 21:340-341, 1958;.
Wolff JA:  Methemoglobinemia due to benzocaine . Pediatrics 20:915-916, 1957;.
Haggerty RJ:  Blue baby due to methemoglobinemia . N Engl J Med 267:1303, 1962;.
Link to Article
Peterson HC:  Acquired methemoglobinemia in an infant due to benzocaine suppository . N Engl J Med 263:454-455, 1960;.
Link to Article
Bloch A:  More on infantile methemoglobinemia due to benzocaine suppository . J Pediatr 67:509-510, 1965;.
Link to Article
Hughes JR:  Infantile methemoglobinemia due to benzocaine suppository . J Pediatr 66:797-799, 1965;.
Link to Article
Huff BB (ed): Physician's Desk Reference , ed 30. Oradell, NJ, Medical Economics Co, 1976;.
Ross JD, Desforges JF:  Reduction of methemoglobin by erythrocytes from cord blood: Further evidence of deficient enzyme activity in the newborn period . Pediatrics 23:718-726, 1959;.
Ross JD:  Deficient activity of DPNH-dependent methemoglobin diaphorase in cord blood erythrocytes . Blood 21:51-62, 1963;.

Figures

Tables

Interactive Graphics

Video

Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

References

Finch CA:  Methemoglobinemia and sulfhemoglobinemia . N Engl J Med 239:470-478, 1948;.
Link to Article
Townes PL, Lovell GR:  Hereditary methemoglobinemia: A new variant exhibiting dominant inheritance of methemoglobin A . Blood 18:18-33, 1961;.
Townes PL, Morrison M:  Investigation of the defect in a variant of hereditary methemoglobinemia . Blood 19:60-74, 1962;.
Ocklitz HW:  Anaesthesinvergiftung beim Säugling . Med Klin 44:806-809, 1949;.
Bernstein BM:  Cyanosis following use of Anesthesin (ethyl-aminobenzoate) . Rev Gastroenterol 17:123-124, 1950;.
Goluboff N, MacFadyen DJ:  Methemoglobinemia in an infant: Associated with application of a tar-benzocaine ointment . J Pediatr 47:222-226, 1955;.
Link to Article
Goluboff N:  Methemoglobinemia due to benzocaine . Pediatrics 21:340-341, 1958;.
Wolff JA:  Methemoglobinemia due to benzocaine . Pediatrics 20:915-916, 1957;.
Haggerty RJ:  Blue baby due to methemoglobinemia . N Engl J Med 267:1303, 1962;.
Link to Article
Peterson HC:  Acquired methemoglobinemia in an infant due to benzocaine suppository . N Engl J Med 263:454-455, 1960;.
Link to Article
Bloch A:  More on infantile methemoglobinemia due to benzocaine suppository . J Pediatr 67:509-510, 1965;.
Link to Article
Hughes JR:  Infantile methemoglobinemia due to benzocaine suppository . J Pediatr 66:797-799, 1965;.
Link to Article
Huff BB (ed): Physician's Desk Reference , ed 30. Oradell, NJ, Medical Economics Co, 1976;.
Ross JD, Desforges JF:  Reduction of methemoglobin by erythrocytes from cord blood: Further evidence of deficient enzyme activity in the newborn period . Pediatrics 23:718-726, 1959;.
Ross JD:  Deficient activity of DPNH-dependent methemoglobin diaphorase in cord blood erythrocytes . Blood 21:51-62, 1963;.

Correspondence

CME
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s “Cited By” API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Comment

Some tools below are only available to our subscribers or users with an online account.

Related Content

Customize your page view by dragging & repositioning the boxes below.