Environmental Medicine Integrating a Missing Element into Medical Education (1995) / Chapter Skim
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Case Study 26: Fatal Outcome of Methemoglobinemia in an Infant
Case Study 26: Fatal Outcome of Methemoglobinemia in an Infant
Pages 516-517
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From page 516... ...
About 66% of these were farm wells.3 There are special problems with the safety of well water for drinking due to poor construction and/or improper location, which may permit infiltration of surface waters contaminated with nitrates as well as other chemicals or microorganisms. (This is especially true of shallow wells, which easily become contaminated during periods of flooding, when runoff may contain chemical fertilizers from nearby cultivated fields.
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From page 517... ...
If there is not an adequate response within an hour, a second dose can be administered. After the intravenous administration of methylene blue, it can be followed by 3 to 5 mg/kg of methylene blue orally or 200 to 500 mg of ascorbic acid orally.7 Prevention.—Because the consumption of well water with chemical or bacterial contamination may have serious consequences, especially for pregnant women and infants, physicians and community health nurses should be alert to this problem.
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