Life-threatening Pyridium Plus intoxication: a case report.

Abstract	A 16-month-old male presented with an overdose of Pyridium Plus--a combination anticholinergic, azo dye, and barbiturate--resulting in seizures, coma, and methemoglobinemia. This case report reviews the treatment of methemoglobinemia with methylene blue, activated charcoal, and exchange transfusion. Additionally, the role of the pulse oximeter is addressed when methemoglobinemia exists and is treated with methylene blue.
Authors	T L Truman, J J Dallessio, R E Weibley
Journal	Pediatric emergency care (Pediatr Emerg Care) Vol. 10 Issue 4 Pg. 225-8 (Aug 1994) ISSN: 0749-5161 [Print] United States
PMID	7937302 (Publication Type: Case Reports, Journal Article, Review)
Chemical References	Barbiturates Drug Combinations Atropine Phenazopyridine secbutabarbital Methylene Blue
Topics	Atropine (poisoning) Barbiturates (poisoning) Central Nervous System Diseases (chemically induced) Drug Combinations Drug Overdose (therapy) Exchange Transfusion, Whole Blood Humans Infant Male Methemoglobinemia (chemically induced, therapy) Methylene Blue (therapeutic use) Phenazopyridine (poisoning)

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