Pediatrics World Conference 2026
Speakers - PWC2026
Ruaa AlHajjaj
Ruaa AlHajjaj
- Designation: Saqr hospital, Iraq
- Country: Iraq
- Title: Methemoglobinemia in Infancy
Abstract
Methemoglobinemia represents a rare blood disorder which occurs through the oxidation of hemoglobin (Hb) from its ferrous to
ferric state, thus disabling its oxygen transport function. The condition leads to functional hypoxia which manifests as cyanosis that
does not respond to oxygen therapy. The condition affects neonates most severely because their enzymatic systems are not fully developed
and their fetal Hb has a tendency to become oxidized. We report a case of a 4 week old male term infant who developed severe cyanosis
after receiving excessive EMLA cream (lidocaine,prilocaine) for circumcision pain relief. The methemoglobin level reached 52% which
established the diagnosis.The administration of methylene blue brought about a quick clinical recovery of the patient. The case demonstrates
the difficulties in diagnosis and potential dangers of using topical anesthetics in newborns while showing why early detection and proper
treatment and parental education remain crucial.
Pediatrics World Conference (PWC 2026)
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