A Case of Sulfhemoglobinemia Secondary to a Urinary Tract Infection.
JOURNAL OF PEDIATRIC HEMATOLOGY ONCOLOGY(2020)
摘要
Sulfhemoglobinemia (SulfHb) is a rare dyshemoglobinemia that can present with cyanosis in the absence of respiratory distress. It has been reported secondary to drug ingestion and chronic constipation. We present a case of SulfHb in an adolescent female with spina bifida and neurogenic bladder in the setting of an Escherichia coli urinary tract infection. An arterial blood gas differentiated a dyshemoglobinemia from other causes of hypoxemia. The resolution was achieved with antibiotics and red cell transfusion. Here we review the pathophysiology of SulfHb and contribute a unique case report to the limited body of literature on this topic.
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关键词
sulfhemoglobinemia,urinary tract infection,spina bifida,E,coli,blood transfusion
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