Fatal Methemoglobinemia from Butyl Nitrite Ingestion

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Abstract
To the editor: Horne and colleagues (1) have reported a case of clinically apparent methemoglobinemia in a patient who was partially (NADH)-methemoglobin reductase deficient after inhaling an over-the-counter "room odorizer" preparation containing butyl nitrite. The reported patient complained only of a "grayish" hue and was otherwise asymptomatic. We have recently seen a fatal case that resulted from ingestion of such a preparation. A 30-year-old man was brought to our department by the police at 0200 h after being found lethargic on a park bench. He had been seen earlier at a discotheque with a brown bottle. At initial examination, the

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