{Reference Type}: Case Reports {Title}: A Rare Case of Familial Methemoglobinemia with Congenital Heart Disease. {Author}: Nayak J;Kumar K;Singh SK;Dhingra G;Nath UK; {Journal}: Oman Med J {Volume}: 39 {Issue}: 3 {Year}: 2024 May 暂无{DOI}: 10.5001/omj.2024.16 {Abstract}: Methemoglobinemia is a rare dyshemoglobin disorder which can either be congenital or acquired. Dyshemoglobin disorders can be asymptomatic or symptomatic. We narrate the case of a 12-year-old girl who presented with a fever, cough, and oxygen saturation of 85%. She was diagnosed with COVID-19, along with a large atrial septal defect and pulmonary arterial hypertension. Arterial blood gas analysis revealed normal partial pressure of oxygen and on 100% exposure to oxygen, blood color turned chocolate brown. After the resolution of COVID-19 in 10 days, the patient was treated with oral ascorbic acid and successful atrial septal defect repair. It is important to suspect dyshemoglobin disorder in a patient who presents with hypoxia/hypoxemia.