A 1-year-old Girl Developed Methemoglobinemia and Acute Kidney Injury after Accidentally Ingesting an Airborne Disinfectant Product

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Key Points

To report a case of methemoglobinemia and acute kidney injury caused by disinfectant ingestion in a child.
Accidental ingestion of a chlorine dioxide disinfectant product by a 1-year-old girl.
Emergency transport due to vomiting and chlorine odor, followed by hospitalization for treatment with mechanical ventilation and methylene blue.
Monitoring of methemoglobin levels and renal function during recovery.
Methemoglobinemia improved with methylene blue treatment.
Acute kidney injury developed but required no renal replacement therapy; resolution with diuretics only.
Hemolytic anemia occurred but did not progress to disseminated intravascular coagulation, leading to hospital discharge without sequelae.

Case report reveals methemoglobinemia and acute kidney injury after accidental disinfectant ingestion, highlighting the need for careful monitoring.

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Sekine et al. (2026) studied this question.

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