Cracked mercury dental amalgam as a possible cause of fever of unknown origin: a case report
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Fabrizia Bamonti1, Gianpaolo Guzzi, Maria Elena Ferrero
1Department of Medical Sciences, University of Milan, IRCCS Foundation Policlinico, Mangiagalli, Regina Elena Hospital, Milan, Italy. fabrizia.bamonti@unimi.it
Introduction:
Sudden fever of unknown origin is quite a common emergency and may lead to hospitalization. A rise in body temperature can be caused by infectious diseases and by other types of medical condition. This case report is of a woman who had fever at night for several days and other clinical signs which were likely related to cracked dental mercury amalgam.
Case Presentation:
A healthy women developed fever many days after had cracked a mercury dental amalgam filling. Blood tests evidenced increased erythrocyte sedimentation rate, anemia and elevated white cell count; symptoms were headache and palpitations. Blood tests and symptoms normalized within three weeks of removal of the dental amalgam.
Conclusion:
This case highlights the possible link between mercury vapor exposure from cracked dental amalgam and early activation of the immune system leading to fever of unknown origin.
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