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New Trend for Suicide: Sodium Nitrite Intake

Cilt: 47 Sayı: 3 30 Eylül 2025
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New Trend for Suicide: Sodium Nitrite Intake

Abstract

Sodium nitrite is an agent used as both a food preservative and an antimicrobial agent, and it is easily accessible. When taken in high doses, it can be life-threatening due to its ability to cause methemoglobinemia. Our case report examines the intentional ingestion of sodium nitrite for suicidal purposes and discusses its clinical management. The patient was brought to the emergency room displaying symptoms of nausea, vomiting, hypoxemia, and peripheral cyanosis. Methemoglobinemia was detected in the blood gas, and the patient's relative confirmed the history of sodium nitrite ingestion. Supportive treatment was initiated until methylene blue was provided. Given its easy accessibility, sodium nitrite intoxication should be included in the differential diagnosis for patients presenting with intoxication and methemoglobinemia. Initiating methylene blue treatment as soon as possible is crucial for the patient's recovery prognosis.

Keywords

Destekleyen Kurum

None

Etik Beyan

Does not require an ethical declaration.

Teşekkür

None

Kaynakça

  1. 1. Cvetković D, Živković V, Lukić V. et al. Sodium nitrite food poisoning in one family. Forensic Sci Med Pathol. 2019; 15: 102–105.
  2. 2. Howland M. Nitrites (Amyl and Sodium) and Sodium Thiosulfate. In: Nelson LS, Howland M, Lewin NA, Smith SW, Goldfrank LR, Hoffman RS. eds. Goldfrank's Toxicologic Emergencies, 11e. McGraw-Hill Education; 2019. Accessed February 24, 2025.
  3. 3. Wright RO, Lewander WJ, Woolf AD. Methemoglobinemia: etiology, pharmacology, and clinical management. Ann Emerg Med. 1999;34(5):646-56.
  4. 4. Erickson TB, Thompson TM, Lu JJ. The approach to the patient with an unknown overdose. Emergency medicine clinics of North America, 2007;25(2), 249-281.
  5. 5. Toxidromes. Holstege, CP, Borek HA. Critical Care Clinics. 2012; 28(4): 479 – 498.
  6. 6. Katabami K, Hayakawa M, Gando S. Severe methemoglobinemia due to sodium nitrite poisoning. Case reports in emergency medicine. 2016; (1): 9013816.
  7. 7. Padovano M, Aromatario M, D'Errico S, et al. Sodium Nitrite Intoxication and Death: Summarizing Evidence to Facilitate Diagnosis. Int J Environ Res Public Health. 2022;19(21):13996.

Ayrıntılar

Birincil Dil

İngilizce

Konular

Tıp Eğitimi

Bölüm

Olgu Sunumu

Yazarlar

Yayımlanma Tarihi

30 Eylül 2025

Gönderilme Tarihi

13 Mayıs 2025

Kabul Tarihi

22 Ağustos 2025

Yayımlandığı Sayı

Yıl 2025 Cilt: 47 Sayı: 3

DOI

https://doi.org/10.7197/cmj.1698412

IZ

https://izlik.org/JA73HB46JW

Kaynak Göster

RIS / Bibtex
AMA
1.Karahan T, Şahin L, Okan GN. New Trend for Suicide: Sodium Nitrite Intake. CMJ. 2025;47(3):43-46. doi:10.7197/cmj.1698412