CONGENITAL METHEMOGLOBINEMIA SIMULATING TRICUSPID ATRESIA
- 17 May 1952
- journal article
- research article
- Published by American Medical Association (AMA) in JAMA
- Vol. 149 (3) , 258-260
- https://doi.org/10.1001/jama.1952.72930200001011
Abstract
Congenital methemoglobinemia is one of the rare causes of generalized cyanosis. A thorough review of the literature reveals only 30 reported cases, 19 verified1and 11 doubtful.2The following case is reported because of the rarity of this condition and because the findings simulated those present in tricuspid atresia. REPORT OF CASE A five-month-old male Cuban infant was recently referred to us with the following history: The baby was delivered by a cesarean section, but the delivery was otherwise uneventful. The birth weight was 7 lb. 12 oz. (3,515 gm.). Cyanosis was noted on the second day after delivery. The baby was given oxygen and kept in an oxygen incubator for 12 days. The cyanosis did not improve. Because of a systolic murmur over the base of the heart and a left axis deviation of the electrocardiogram, a diagnosis of probable tricuspid atresia was made by the attendingKeywords
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