The patients received methylene blue antidotal therapy in the emergency department. Diagnosis:īased on their history and blood tests, methemoglobinemia was initially diagnosed. They experienced dyspnea, cyanosis, and mild nausea. They were brought to the emergency department after attempting suicide by ingesting sodium nitrite. We present case reports of 2 patients who attempted suicide by sodium nitrite after ordering a “suicide powder” on the internet market. While accidental intoxication of sodium nitrite by contaminated water and food has previously occurred, there has been a substantial upsurge in suicide intoxication in recent years. Clinical manifestations are known to induce methemoglobinemia, dysrhythmia, hypotension, and even death. Sodium nitrite is a potent oxidizing agent that impairs oxygen transport and delivery through methemoglobin formation. This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. *Correspondence: So Eun Kim, MD, PhD, Department of Emergency Medicine, Research Institute of Clinical Medicine of Jeonbuk National University and Biomedical Research Institute of Jeonbuk National University Hospital, 20, Geonji-ro, Deokjin-gu, Jeonju-si, Jeollabuk-do 54907, Republic of Korea (e-mail: ). The authors have no funding and conflicts of interest to disclose. The authors confirm that the data supporting the findings of this study are available within the article and its supplementary materials. A copy of the written consent form is available. Written informed consent was obtained from all patients for publication of this case reports and any accompanying images. Suicide attempt using sodium nitrite ordered on the internet: Two case reports. How to cite this article: Yoon JC, Kim SE. Received: 17 February 2022 / Received in final form: 7 April 2022 / Accepted: 8 April 2022 A Research Institute of Clinical Medicine of Jeonbuk National University and Biomedical Research Institute of Jeonbuk National University Hospital, Jeonju-si, Republic of KoreaīDepartment of Emergency Medicine, Jeonbuk National University Medical School, Jeonju, Republic of Korea.
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