The DOI matches its Crossref record; 34 of the 34 references it cites were found in a registry or an index.
Infantile methemoglobinemia: Reexamining the role of drinking water nitrates
Open accessAbstract
Ingestion of nitrates in drinking water has long been thought to be a primary cause of acquired infantile methemoglobinemia, often called blue baby syndrome. However, recent research and a review of historical cases offer a more complex picture of the causes of infantile methemoglobinemia. Gastrointestinal infection and inflammation and the ensuing overproduction of nitric oxide may be the cause of many cases of infantile methemoglobinemia previously attributed to drinking water nitrates. If so, current limits on allowable levels of nitrates in drinking water, which are based solely on the health threat of infantile methemoglobinemia, may be unnecessarily strict.
Overview
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
In the citing paper
“it is now thought that methemoglobinemia per se was not caused by nitrate itself, but by fecal bacteria that infected infants and produced NO in their gut.”
From NO-Rich Diet for Lifestyle-Related Diseases (2015) · cites this paper as [43]
In the citing paper
“A recent report by Avery has argued that it is unlikely that nitrate causes methemoglobinemia without bacterial contamination, and also that the 40–50 mg/L limit on nitrate in drinking water is not necessary [43].”
From NO-Rich Diet for Lifestyle-Related Diseases (2015) · cites this paper as [43]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Citations
Cites
CYANOSIS IN INFANTS CAUSED BY NITRATES IN WELL WATER
Comly, H. H. (1945) · JAMA · doi:10.1001/jama.1945.02860360014004 · Cited by 621
Survey of Literature Relating to Infant Methemoglobinemia Due to Nitrate-Contaminated Water
Walton, G. (1951) · American Journal of Public Health and the Nations Health · doi:10.2105/ajph.41.8_pt_1.986 · Cited by 227
Blood nitrates and infantile methemoglobinemia
Hegesh, E., & Shiloah, J. (1982) · Clinica Chimica Acta · doi:10.1016/0009-8981(82)90187-5 · Cited by 170
Witthöft, T., Eckmann, L., Kim, J. M., & Kagnoff, M. F. (1998) · American Journal of Physiology-Gastrointestinal and Liver Physiology · doi:10.1152/ajpgi.1998.275.3.g564 · Cited by 154
Dietary protein intolerance in infants with transient methemoglobinemia and diarrhea
Murray, K. F., & Christie, D. L. (1993) · The Journal of Pediatrics · doi:10.1016/s0022-3476(05)83495-x · Cited by 131
Methemoglobinemia in young infants
Cornblath, M., & Hartmann, A. F. (1948) · The Journal of Pediatrics · doi:10.1016/s0022-3476(48)80200-3 · Cited by 124
Fatal outcome of methemoglobinemia in an infant.
Johnson, C. J., Bonrud, P. A., Dosch, T. L., Kilness, A. W., Senger, K. A., Busch, D. C., & Meyer, M. R. (1987) · PubMed · Cited by 96
Infantile Methemoglobinemia Caused by Carrot Juice
Keating, J. P., Lell, M. E., Strauss, A. W., Zarkowsky, H. S., & Smith, G. (1973) · New England Journal of Medicine · doi:10.1056/nejm197304192881606 · Cited by 77
Transient methemoglobinemia with acidosis in infants
Yano, S. S., Danish, E. H., & Hsia, Y. E. (1982) · The Journal of Pediatrics · doi:10.1016/s0022-3476(82)80446-0 · Cited by 59
Endogenous Methemoglobinemia Associated with Diarrheal Disease in Infancy
Hanukoglu, A., & Danon, P. N. (1996) · Journal of Pediatric Gastroenterology and Nutrition · doi:10.1097/00005176-199607000-00001 · Cited by 55
Levine, J. J., Pettei, M. J., Valderrama, E., Gold, D. M., Kessler, B. H., & Trachtman, H. (1998) · Journal of Pediatric Gastroenterology and Nutrition · doi:10.1097/00005176-199801000-00006 · Cited by 49
Simon, C., Manzke, H., Kay, H., & Mrowetz, G. (1964) · European Journal of Pediatrics · doi:10.1007/bf00438553 · Cited by 46
Gupta, S. K., Fitzgerald, J. F., Chong, S. K. F., Croffie, J. M. B., & Garcia, J. G. N. (1998) · The American Journal of Gastroenterology · doi:10.1111/j.1572-0241.1998.227_a.x · Cited by 26
Infantile methemoglobinemia associated with acute diarrheal illness
Lebby, T., Roco, J. J., & Arcinue, E. L. (1993) · The American Journal of Emergency Medicine · doi:10.1016/0735-6757(93)90086-q · Cited by 26
Landmark perspective: The legacy of well-water methemoglobinemia
Lukens, J. N. (1987) · JAMA · doi:10.1001/jama.257.20.2793 · Cited by 24
Role of nitrite and nitrate as a redox couple in the rat colon
Roediger, W. E. W., & Radcliffe, B. C. (1988) · Gastroenterology · doi:10.1016/0016-5085(88)90547-1 · Cited by 24
Extracorporeal circulation increases nitric oxide-induced methemoglobinemia in vivo and in vitro
Dötsch, J., Demirakça, S., Hamm, R., Knothe, C., Bauer, J. M., Kühl, P. G., & Rascher, W. (1997) · Critical Care Medicine · doi:10.1097/00003246-199707000-00016 · Cited by 23
Methaemoglobinaemia in young infants with diarrhoea
Dagan, R., Zaltzstein, E., & Gorodischer, R. (1988) · European Journal of Pediatrics · doi:10.1007/bf00442620 · Cited by 21
Avner, J. R. (1990) · American journal of diseases of children · doi:10.1001/archpedi.1990.02150350061025 · Cited by 20
Transient Organic Aciduria and Methemoglobinemia With Acute Gastroenteritis
Kay, M. A., O’Brien, W. E., Kessler, B. H., McVie, R., Ursin, S., DIETRICH, K., & McCabe, E. R. B. (1990) · PEDIATRICS · doi:10.1542/peds.85.4.589 · Cited by 19
Methemoglobinemia and Hemolytic Anemia Associated with Campylobacter jejuni Enteritis
Smith, M. A., Shah, N. R., Lobel, J. S., & Hamilton, W. (1988) · Journal of Pediatric Hematology/Oncology · doi:10.1097/00043426-198821000-00007 · Cited by 18
Life-Threatening Methemoglobinemia in Infants With Diarrhea and Acidosis
Gebara, B. M., & Goetting, M. G. (1994) · Clinical Pediatrics · doi:10.1177/000992289403300611 · Cited by 18
Severe Methemoglobinemia in a 3-Week-Old Infant With a Urinary Tract Infection
Avner, J. R. (1992) · Critical Care Medicine · doi:10.1097/00003246-199208000-00023 · Cited by 15
Methemoglobinemia in infants with enteritis
Bricker, T., Jefferson, L. S., & Mintz, A. A. (1983) · The Journal of Pediatrics · doi:10.1016/s0022-3476(83)80322-9 · Cited by 15
Remission of chronic methemoglobinemia following neomycin therapy
Rossi, E. C., Bryan, G. T., Schilling, R. F., & Clatanoff, D. V. (1966) · The American Journal of Medicine · doi:10.1016/0002-9343(66)90138-0 · Cited by 14
An infant with sepsis and methemoglosinemia
May, R. B. (1985) · Journal of Emergency Medicine · doi:10.1016/0736-4679(85)90428-7 · Cited by 13
Meth�moglobinvergiftung nach Spinatgenu� bei einem zweij�hrigen Knaben
Sander, C., & Jacobi, H. (1967) · European Journal of Pediatrics · doi:10.1007/bf00518039 · Cited by 12
Methemoglobinemia in an infant
JOLLY, B. T., Monico, E., & McDEVITT, B. (1995) · Pediatric Emergency Care · doi:10.1097/00006565-199510000-00007 · Cited by 9
Methemoglobinemia in an infant--Wisconsin, 1992.
(1993) · PubMed · Cited by 9
[Methemoglobinemias caused by ingestion of nitrites and nitrates].
Faivre, J., Faivre, M., Klepping, C., & Roche, L. (1976) · PubMed · Cited by 8
Another look : national pesticide survey : phase II report
Substances, T. (1992) · Medical Entomology and Zoology · Cited by 6
[Spinach: A source of nitrite poisoning in young children].
Ww, H., Ac, D., & Veerman, A. J. (1983) · PubMed · Cited by 5
[Methemoglobinemia in an infant following nitrite poisoning by a dinner of kohlrabi].
Ritter, R., & Schulze, U. (1971) · PubMed · Cited by 4
[ON THE INCIDENCE, PATHOGENESIS AND PREVENTION OF METHEMOGLOBINEMIA CAUSED BY NITRITES].
SIMON, C., Manzke, H., Kay, H., & Mrowetz, G. (1964) · PubMed · Cited by 4
Flagged first, then by citations
Research works printed but not linked: 1
- [36]36. National Research Council Subcommittee on Nitrate and Nitrite in Drinking Water. Nitrate and Nitrite in Drinking Water. Washington, DC:National Academy Press, 1995.
Cited by
Sorted by citations
Workgroup Report: Drinking-Water Nitrate and Health—Recent Findings and Research Needs
Ward, M. H., de Kok, T. M. C. M., Levallois, P., Brender, J. D., Guliš, G., Nolan, B. T., & VanDerslice, J. A. (2005) · Environmental Health Perspectives · doi:10.1289/ehp.8043 · Cited by 924
Blue babies and nitrate-contaminated well water
Knobeloch, L., Salna, B., Hogan, A., Postle, J., & Anderson, H. (2000) · Environmental Health Perspectives · doi:10.1289/ehp.00108675 · Cited by 775
Drinking-Water Nitrate, Methemoglobinemia, and Global Burden of Disease: A Discussion
Fewtrell, L. (2004) · Environmental Health Perspectives · doi:10.1289/ehp.7216 · Cited by 653
Alarie, Y. (2002) · Critical Reviews in Toxicology · doi:10.1080/20024091064246 · Cited by 521
Lidder, S., & Webb, A. J. (2013) · British Journal of Clinical Pharmacology · doi:10.1111/j.1365-2125.2012.04420.x · Cited by 360
Metadata
- Authors
- Avery, A. A.
- Affiliations
- Hudson Institute (US)
- Corresponding author
- Avery, A A
- Venue
- Environmental Health Perspectives
- Publisher
- American Chemical Society (ACS)
- Published
- 1999-07
- Volume
- 107
- Issue
- 7
- Pages
- 583-586
- ISSN
- 0091-6765 (ISSN-L)
- 1552-9924
- OpenAlex
- W2015001323
- Cited by
- 218
- References
- 34
- Citations by year
- 2026: 3 · 2025: 7 · 2024: 9 · 2023: 10 · 2022: 21 · 2021: 2 · 2020: 7 · 2019: 9 · 2018: 9 · 2017: 5 · 2016: 6 · 2015: 18 · 2014: 13 · 2013: 17 · 2012: 6
- FWCI
- 5.76
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- public-domain
- Locations
- Environmental Health Perspectives (publishedVersion, public-domain)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Hematology › Methemoglobinemia and Tumor Lysis Syndrome
- Physical Sciences › Environmental Science › Health, Toxicology and Mutagenesis › Water Treatment and Disinfection
- Physical Sciences › Environmental Science › Health, Toxicology and Mutagenesis › Public Health and Environmental Issues
- Keywords
- blue baby syndrome, drinking water nitrate, nitric oxide, gastrointestinal infections, nitrate ingestion
- MeSH terms
- Diarrhea, Infantile, Humans, Infant, Infant, Newborn, Methemoglobinemia, Nitrates, Water Pollutants, Chemical, Water Supply
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review