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lüll Pseudomethemoglobinemia: a case report and review of sulfhemoglobinemia Lu HC; Shih RD; Marcus S; Ruck B; Jennis TArch Pediatr Adolesc Med 1998[Aug]; 152 (8): 803-5OBJECTIVES: To see if methemoglobin could potentially be misdiagnosed and the limitation of present cooximeters. PATIENT: A 17-year-old girl who overingested a combination of cimetidine, acetaminophen, ibuprofen, and naproxen in a suicide attempt. METHOD: Use of pulse co-oximeters to aid in the diagnosis of suspected sulfhemoglobinemia. RESULTS: Diagnosis of sulfhemoglobinemia achieved with final confirmation made with gas chromatography. Patient steadily improved with supportive care. CONCLUSIONS: There is a potential for the diagnosis of methemoglobin with some of the limitations of present co-oximeters. The laboratory diagnosis of sulfhemoglobinemia can be difficult to make.|Acetaminophen/poisoning[MESH]|Adolescent[MESH]|Cimetidine/poisoning[MESH]|Diagnosis, Differential[MESH]|Female[MESH]|Humans[MESH]|Ibuprofen/poisoning[MESH]|Methemoglobinemia/*diagnosis[MESH]|Naproxen/poisoning[MESH]|Oximetry[MESH]|Suicide, Attempted[MESH]|Sulfhemoglobinemia/chemically induced/*diagnosis[MESH] |