Evidence map›Paper›PMID 39984978›Full record

ReviewItalian journal of pediatrics2025

A blue blood toddler- a case report of methemoglobinemia and literature review.

Dorina Pjetraj, Madiha El Mechri, Silvia Bacelli, Elisabetta Fabiani, Laura Caponi, Simona Gatti, Elena Lionetti

Abstract readCase ReportsReview
In one paragraph

Review in Italian journal of pediatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Dorina PjetrajDepartment of Pediatrics, Marche Polytechnic University, Ancona, 60123, Italy. pjetrajdorina@gmail.com.ORCID http://orcid.org/0000-0002-0238-7865
Madiha El MechriDepartment of Pediatrics, Marche Polytechnic University, Ancona, 60123, Italy.
Silvia BacelliDepartment of Pediatric Emergency, Salesi Hospital, Azienda Ospedaliero-Universitaria delle Marche, Ancona, Italy.
Elisabetta FabianiDepartment of Pediatric Emergency, Salesi Hospital, Azienda Ospedaliero-Universitaria delle Marche, Ancona, Italy.
Laura CaponiDepartment of Pediatrics, Marche Polytechnic University, Ancona, 60123, Italy.
Simona GattiDepartment of Pediatrics, Marche Polytechnic University, Ancona, 60123, Italy.
Elena LionettiDepartment of Pediatrics, Marche Polytechnic University, Ancona, 60123, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMethemoglobinemia (MetHb) is a rare and potentially life-threatening condition caused by oxidation of ferrous hemoglobin (Fe2+) to the ferric (Fe3+) state, making it incapable of binding oxygen and resulting in cyanosis and tissue ischemia. CASE PRESENTATION: This case presentation describes a 1-year-old boy who developed sudden cyanosis and reduced consciousness disorder. An initial assessment showed decreased oxygen saturation (SpO2 85%) despite oxygen therapy, while point-of-care venous blood gas (VBG) analysis assessed high rates of MetHb (72.7%). Methylene blue and ascorbic acid were administered, resulting in in rapid clinical recovery and normalized VBG test results. The trigger for this condition was not identified, however the most likely cause of poisoning was attributed to food oxidants.

conclusionStarting from the description of a clinical case, this paper discusses the causes and mechanisms of possible poisoning and reviews recent guidelines for methemoglobinemia management.

Indexed as

MethemoglobinemiaAscorbic AcidBlood Gas AnalysisCyanosisHumansInfantMaleMethylene BlueAscorbic AcidMethylene BlueAscorbic acidCase reportFood-induced methemoglobinemiaMethemoglobinemia (MetHb)Methylene bluePoisoning

Identifiers

PMID39984978
PMCPMC11846283

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.