Case Report

P-Chloroaniline Poisoning Causing Methemoglobinemia: A Case Report and Review of the Literature

Table 1

Substances that can cause MetHb1.

DrugsChemical agents

Acetaminophen Methylene blue Acetanilide
Ammonium nitrate Metoclopramide Alloxan
Amyl nitrateNitrates/nitrites Aminophenol
Anticonvulsants  Nitric oxideAnilines
 Valproic acid Nitrofurantoin Automobile exhaust fumes
 Phenytoin Nitroglycerine Benzene
Antimalaria drugs NitroprussideBivalent copper
 Chloroquine Nitrous oxideBurning wood and plastic
 Quinacrine Isobutyl nitrate Chlorates
 PrimaquineOral hypoglycemics Chromates
Bismuth subnitrate p-Aminosalicylic acid Dimethyl sulfoxide
Dapsone PhenacetinDinitrophenol
Flutamide Phenazopyridine Fumes
Hydroxylamine PiperazineNaphthalene
Local anesthetics RifampinNitrates
 BenzocaineRiluzole Nitrites
 BupivacaineSulfadiazineNitrobenzene
 LidocaineNitroethane
 PrilocaineNitrophenol
 EMLA*Paraquat
Propanil
Toluidine
Trinitrotoluene (TNT)

This list is not complete. 1References: see [6, 21, 25]. Eutectic mixture of local anesthetics.