SUCCESSFUL MANAGEMENT OF ACUTE METHEMOGLOBINEMIA DUE TO NITROBENZENE POISONING IN A TERTIARY CARE HOSPITAL: A CASE SERIES

Introduction: Nitrobenzene poisoning, although an uncommon method of suicidal poisoning, can lead to life-threatening complications. The incidence is on the rise due to easy access to products containing nitrobenzene. Clinical presentation of acute methemoglobinemia can range from mild to severe symptoms and signs with rapid progression to grave outcomes. 17-year-old male: Sever Case Series: e abdominal pain, vomiting, dizziness. The patient is managed with methylene blue, ascorbic acid, mechanical ventilation, Hemodialysis, antibiotics, and PRBC transfusion. Outcome: Extubated and discharged. 1. 22-year-old male: Vomiting, blurred vision after ingesting “Bloom ower” compound. We managed with methylene blue, ascorbic acid, and FAD. Discharged against medical advice. 2. 33-year-old male: Unco Outcome: nsciousness, vomiting after ingesting “Flower Bloom Plus” (30% nitrobenzene). We managed with methylene blue, antibiotics, riboavin, mechanical ventilation, and exchange transfusion. Outcome: Extubated and discharged. 3. 65-year-old patient: Loose stools, decreased sensorium after ingesting unknown insecticide. We managed with methylene blue, exchange transfusions, antibiotics, and mechanical ventilation. Outcome: Extubated and discharged. Conclusion : Timely identication, diagnosis, and treatment with the antidote methylene blue, exchange transfusion, along other supportive care have been proven to save lives.