• J Emerg Med · Jul 2007

    Case Reports

    Carboxyhemoglobin elevation due to hemolytic anemia.

    • Neil B Hampson.
    • Center for Hyperbaric Medicine, Virginia Mason Medical Center, Seattle, Washington, USA.
    • J Emerg Med. 2007 Jul 1; 33 (1): 17-9.

    AbstractA critically ill man with drug-induced hemolytic anemia and hepatic failure was hospitalized at a private academic medical center in Seattle, Washington. Intravascular hemolysis with associated endogenous carbon monoxide (CO) production resulted in elevation of the patient's carboxyhemoglobin (COHb) level to as high as 9.7%. Serial measurements of the patient's COHb level were obtained and compared with other conventional measures of hemolytic activity. With the availability of new non-invasive measurement technology to detect COHb elevations, emergency clinicians are likely to see COHb elevation as a manifestation of hemolytic anemia.

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