Factitial panniculitis secondary to injected subcutaneous elemental mercury

Heavy metal cellulitis in a nine‐year‐old gelding Belgian Warmblood

“…Subsequent patient monitoring for signs related to neural, respiratory, gastrointestinal and renal damage is recommended, as oxidation of mercury in the blood may lead to systemic organ exposure and signs. In symptomatic cases or cases with elevated blood mercury concentrations, chelation therapy should be considered together with surgical debridement 4,7 . Ultrasound, X‐ray and computerised tomography imaging have been documented as useful diagnostic tools in cases of subcutaneous mercury injection 4,7 .…”

“…In symptomatic cases or cases with elevated blood mercury concentrations, chelation therapy should be considered together with surgical debridement. 4,7 Ultrasound, X-ray and computerised tomography imaging have been documented as useful diagnostic tools in cases of subcutaneous mercury injection. 4,7 Aside from during endoscopy, antemortem imaging was not performed on this horse.…”

“…4,7 Ultrasound, X-ray and computerised tomography imaging have been documented as useful diagnostic tools in cases of subcutaneous mercury injection. 4,7 Aside from during endoscopy, antemortem imaging was not performed on this horse.…”