Abstract

Saurabh Saklani*, Sanjay Rishishwar and Poonam Rishishwar

ABSTRACT

Methemoglobinemia is a rare but life-threatening clinical condition that requires rapid diagnosis and treatment to achieve a favorable outcome. While there are multiple known causes of acquired methemoglobinemia, pesticide exposure is a rare and less frequently reported etiology. We present a case report of methemoglobinemia caused by pesticide ingestion, highlighting varying responses to different treatment modalities. This report discusses treatment options ranging from conventional methylene blue therapy to more advanced approaches, such as exchange transfusion and hyperbaric oxygen therapy. Our findings indicate that monitoring methemoglobin levels over an extended period may be necessary due to the risk of relapse. For refractory cases that do not improve with methylene blue, exchange transfusion proves to be an effective alternative treatment.