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Methemoglobinemia from Well Water Nitrates: A Complication of Home Dialysis

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▸Requests for reprints should be addressed to Fred L. Shapiro, M.D., Hennepin County General Hospital, 5th and Portland Sts., Minneapolis, Minn. 55415

Minneapolis, Minnesota

Ann Intern Med. 1970;73(5):757-759. doi:10.7326/0003-4819-73-5-757
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Toxic methemoglobinemia developed in a patient on home dialysis after nitrate contamination of well water used to make the dialysate. The patient recovered after treatment with intravenous methylene blue. Methemoglobinemia is a potential complication in patients on chronic home dialysis when water from contaminated private wells is used in making the dialysate.





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Nitrate induced anaemia in home dialysis patients. Proc Eur Dial Transplant Assoc Eur Ren Assoc 1985;21():321-5.
[Methemoglobinemia--complication of hemodialysis]. Nihon Rinsho 1992;50 Suppl():778-82.
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