A 3 Year-Old Male Child Ingested Approximately 750 Grams of Elemental Mercury

Uysalol, Metin; Parlakgül, Güneş; Yılmaz, Yasin; Çıtak, Agop; Uzel, Nedret

doi:10.5152/balkanmedj.2016.15197

Cited by 6 publications

(8 citation statements)

References 7 publications

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“…Mercury (Hg) is an environmental pollutant and it is not involved in the physiological or biochemical processes of the body ( 1 , 2 ). Even with stricter policies, Mercury still poses a threat to public health, particularly among children, who are attracted by its appearance; demonstrated in Uysalol et al ( 2 , 3 , 4 ). Hg use includes the manufacturing of batteries, fluorescent lights, semi conductors, paper, felt, and some paints.…”

mentioning

confidence: 99%

Pediatric Mercury Intoxication Mimicking Pheochromocytoma

et al. 2018

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mentioning

confidence: 99%

Pediatric Mercury Intoxication Mimicking Pheochromocytoma

et al. 2018

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“…Children exposed to the same levels of mercury vapor as adults may receive higher doses because of greater lung surface area-body weight ratios and minute volume:weight ratios. 19 Inhaling mercury vapor was the most common route of exposure for both groups in our study. Mercury was touched/played/inhaled by 57.1% of the MI group and 15.0% of the ME group.…”

Section: Discussionmentioning

confidence: 63%

“…At the end stage, lung damage is the leading cause of death. 2,3,7,8,19,[21][22][23][24][25][26][27][28][29][30][31] Most of our patients were exposed to mercury through their breathing, but there were no signs or symptoms of lung damage. Malaise (14.3%), muscle pain (14.3%), Amenorrhea, photophobia, and headache plagued the 17-year-old sister as well.…”

Section: Discussionmentioning

confidence: 99%

Characteristics, Treatment, and Prognosis of Elemental Mercury Intoxication in Children

Güven

Özbek²

2022

Pediatr Emer Care

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ObjectivesMercury exposure is common and can be toxic, especially in children. Children are often drawn to elemental mercury because of its density, color, and proclivity to form beads.MethodsWe present data on 49 children with mercury intoxication (MI) and 60 children with mercury exposure from Turkey.ResultsThe most common source of mercury was broken thermometer in schools. Inhaling mercury vapor was the most common route of exposure. The median exposure time was 6 (6–16) hours in the MI group, and the time to 1st symptoms was 10 (0–24) hours. In the MI group, the median blood mercury level was 21 μg/L (13–32.3), the median spot urine mercury level was 40 μg/L (7.66–78), and the median 24-hour urine mercury level was 25.8 μg/L (11–64). The most common symptoms in patients with MI were malaise, muscle pain, muscle cramps, abdominal pain, nausea, headache, and decreased appetite. The patients were treated with n-acetyl cysteine, 2,3-dimercaptopropane sulfonic acid, D-penicillamine, and meso 2,3-dimercaptosuccinic acid. A positive correlation was found between exposure time and urinary mercury level in the MI group (r = 0.793, P < 0.001). A positive moderate correlation was found between exposure time and blood level in the mercury exposure group (r = 0.535, P < 0.00). The neurological and systemic examinations of patients were all normal at the 1st follow-up visit 1 month after discharge.ConclusionsDiagnosis, removal of the exposure source, and use of chelation therapy can result in complete resolution of the signs and symptoms of MI.

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“…Gastrointestinal ingestion is a rare way for mercury poisoning. Still, when observed, it is often associated with delayed gastric emptying, diverticulosis, and stulas, accelerate gut ora converted metallic mercury into organic compounds, which tend to be much more toxic [11,12]. Apart from that, large dosages may still lead to hepatic dysfunction with jaundice developed [12].…”

Section: Discussionmentioning

confidence: 99%

Intraorbital Mercury Removal by DSA Positioning and Route Marking: A 4-year Follow-up

Cai

Wei

Zhu

et al. 2021

Preprint

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Background: Mercury is a widely used heavy metal. Traumatic mercury residue often leads to contact dermatitis, granuloma, even chronic poisoning. Due to its unique physical and chemical properties, mercury beads can be difficult to retrieve, especially in the eyes. Most previous studies have focused only on the rigid orbital foreign bodies rather than the injuries related to liquid heavy metal and their extraction method.Methods: We reported a case of thermometer-related orbital injuries in a 4-year-old boy. To better locate, visualize and remove the mercury beads without complications, a Digital Subtraction Angiography (DSA)-guided, methylene blue marked access was taken, followed by further removal of scattered tiny mercury droplets with an adapted aspirator. Result: At least 0.7411g mercury was taken out during the surgery. After a four-year follow-up, the boy had no residual symptoms, with his urine mercury decreased gradually.Conclusion: Assessing the risk-return coefficient and making an appropriate therapeutic plan is an integral part of the pursuit of therapeutic progress. With the guidance of DSA and methylene blue, the suction of the reformative aspirator, we finally locate the mercury beads, maximize the removal of beads, reduce the length and depth of incisions, and keep the essential structures intact. Hence, we found it a valuable surgical skill on such occasions, worth sharing for future references.

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A 3 Year-Old Male Child Ingested Approximately 750 Grams of Elemental Mercury

Cited by 6 publications

References 7 publications

Pediatric Mercury Intoxication Mimicking Pheochromocytoma

Pediatric Mercury Intoxication Mimicking Pheochromocytoma

Characteristics, Treatment, and Prognosis of Elemental Mercury Intoxication in Children

Intraorbital Mercury Removal by DSA Positioning and Route Marking: A 4-year Follow-up

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