The circumcision blues: a case report with literature review

Authors

  • Meng Li Department of Pediatrics, University of Florida, College of Medicine-Jacksonville, Jacksonville, Florida, USA
  • Kristen C. Lee Florida/USVI Poison Information Center-Jacksonville, University of Florida Health Science Center, Jacksonville, Florida, USA
  • Thomas A. Nakagawa Department of Pediatric Critical Care Medicine, University of Florida, College of Medicine-Jacksonville, Jacksonville, Florida, USA

DOI:

https://doi.org/10.18203/2349-3291.ijcp20210664

Keywords:

Methemoglobinemia, Local anesthetics, Circumcision

Abstract

An 11-day-old Caucasian male developed acquired methemoglobinemia as a result of repeated exposure to topical lidocaine/prilocaine cream following a circumcision. Our patient responded well with treatment of a single dose of intravenous (IV) methylene blue. Methemoglobinemia is a rare but well-explained complication of local anesthetics. It is important for providers to prescribe local anesthetics safely to avoid serious complications, especially with neonates who are at higher risk of developing methemoglobinemia.

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Published

2021-02-23

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Section

Case Reports