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Elemental mercurial poisoning

H Hohage1, B Otte, G Westermann

  • 1Medical Department D, University of Münster, Germany.

Southern Medical Journal
|November 5, 1997
PubMed
Summary
This summary is machine-generated.

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A man with metallic mercury poisoning showed lung deposits and polyneuropathy 3 years after injection. Treatment with sodium dimercaptopropanesulfate (Dimaval) was initiated for mercury complexation.

Area of Science:

  • Toxicology
  • Environmental Medicine
  • Neurology

Background:

  • Elemental mercury injection can lead to chronic poisoning.
  • Delayed diagnosis and treatment pose significant health risks.

Observation:

  • A 39-year-old male presented with a history of attempted suicide via elemental mercury injection 3 years prior.
  • Radiographic imaging revealed mercury deposits in the lungs and injection site.
  • Blood mercury levels were significantly elevated (96.3 µg/L), alongside increased renal mercury elimination.
  • The patient exhibited signs of polyneuropathy.

Findings:

  • Despite pulmonary mercury deposits, pulmonary function and diffusion capacity remained normal.
  • Elevated blood mercury and renal elimination indicated ongoing systemic exposure or retention.

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  • Polyneuropathy suggested neurological involvement secondary to mercury toxicity.

    • Implications:

    • This case highlights the long-term consequences of elemental mercury poisoning.
    • Early diagnosis and intervention, including chelation therapy with sodium dimercaptopropanesulfate (Dimaval), are crucial for managing mercury toxicity.
    • Further research into the long-term effects and optimal treatment strategies for metallic mercury poisoning is warranted.