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Elemental Mercury Poisoning by Self-Injection - A Report of Two Cases.
Aswathy Chandran1, Sheeja Rajan T M1, Akshata Menedal1
1Department of Plastic Surgery, Government Medical College, Kozhikode, Kerala, India.
The Journal of Hand Surgery Asian-Pacific Volume
|July 15, 2024
Summary
Self-harm involving mercury injection into limbs is rare. This case series highlights varied presentations and emphasizes safety precautions for managing mercury poisoning in surgical patients.
Area of Science:
- Toxicology
- Emergency Medicine
- Surgical Management
Background:
- Self-inflicted mercury injection into the upper limb is an uncommon method of self-harm.
- Elemental mercury, a toxic substance, poses significant health risks upon injection.
Observation:
- Two patients presented with varied clinical timelines after mercury injection: one student 24 hours post-injection and an industry worker 2 years post-injection.
- Clinical presentations differed, underscoring the unpredictable nature of mercury toxicity following injection.
Findings:
- The study describes the management of mercury poisoning in these cases.
- A review of relevant literature on mercury toxicity and its management is included.
Implications:
- Healthcare professionals, particularly surgical teams, must be aware of the risks associated with mercury injection.
- Adequate safety precautions are crucial during the management of patients with mercury poisoning to prevent further harm.

