PT - JOURNAL ARTICLE AU - Alok Gupta AU - Nirdesh Jain AU - Avinash Agrawal AU - Arjun Khanna AU - Manish Gutch TI - A fatal case of severe methaemoglobinemia due to nitrobenzene poisoning AID - 10.1136/emj.07.2011.4431rep DP - 2012 Jan 01 TA - Emergency Medicine Journal PG - 70--71 VI - 29 IP - 1 4099 - http://emj.bmj.com/content/29/1/70.short 4100 - http://emj.bmj.com/content/29/1/70.full SO - Emerg Med J2012 Jan 01; 29 AB - An acute poisoning with nitrobenzene presenting as methaemoglobinemia is an uncommon medical emergency. A young girl with nitrobenzene induced methaemoglobinaemia died despite use of mechanical ventilator, administration of oral methylene blue and parenteral ascorbic acid. Here author highlights the rare occurrence of such cases, methaemoglobin induced severe oxidative stress, unexplained splenomegaly and leucocytosis and the ineffectivity of oral methylene blue and other supportive measures in evading death due to nitrobenzene poisoning.