Lead and mercury exposures: interpretation and action

Brodkin, Elizabeth; Copes, Ray; Mattman, Andre; Kennedy, James H.; Kling, Rakel; Yassi, Annalee

doi:10.1503/cmaj.060790

Cited by 102 publications

(59 citation statements)

References 14 publications

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“…There are no specific blood or urine levels above which treatment with a chelating agent is indicated . [13] Chelation therapy for acute mercury poisoning can be done with dimercaptosuccinic acid (DMSA), 2,3-dimercapto-1-propanesulfonic acid (DMPS), D-penicillamine (DPCN), or dimercaprol (BAL). [14] In our patient gastric lavage was done followed by chelation with dimercaprol.…”

Section: Discussionmentioning

confidence: 99%

A rare case of Homicidal Mercury poisoning

Kaur

Garg

Kaur

et al. 2018

ijmsci

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Section: Discussionmentioning

confidence: 99%

A rare case of Homicidal Mercury poisoning

Kaur

Garg

Kaur

et al. 2018

ijmsci

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“…The latter might be as a result of suicidal attempt, (Isik et al, 1997;Winker et al, 2002;Ruha et al, 2001;Kayias et al, 2003) occupational accident, (Ellabban et al, 2003;Vano-Galvan et al, 2009) penile augmentation, (Oh et al, 2007) and superstitious beliefs (Prasad, 2004). Injection of metallic mercury in the forms of subcutaneous or intravenous has been hitherto reported in less than a hundred cases since 1923 (Brodkin et al, 2007). We report a case of subcutaneously injected elemental mercury with suicidal intention, presenting with signs of bacterial cellulitis.…”

Section: Introductionmentioning

confidence: 85%

Subcutaneous Injection of Metallic Mercury Mimicking Bacterial Cellulites: A Case Report

Haghdoost¹,

Poorhasan²,

Ghabili³

et al. 2010

American Journal of Infectious Diseases

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Problem statement: Injection of metallic mercury in the forms of subcutaneous or intravenous has been hitherto reported in less than a hundred cases. Approach: We reported a 19 year old male with history of major depression who subcutaneously injected metallic mercury into his right forearm with suicidal intention. Results: A week later, a mild elevation of creatinine level was noted. Subsequently, mercury deposits were totally removed with all affected tissues and fascia of the right forearm. Later, the creatinine level decreased to the normal range. Conclusion: The present case is an example of suicidal attempt that presented with subcutaneous injection of elemental mercury mimicking bacterial cellulitis. Physicians should consider heavy metal injections when evaluating a patient with history of psychiatric disorders presented with bacterial cellulitis.

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“…Routes of mercury administration into human body are known via inhalation, dermal, and oral routes [11]. A study had been done to workers exposed to mercury in residents of Guizhou (China), who are known to suffer mercury contamination with concentrations levels of 7-10 ng/mL [19]. In addition, mercury potent to bioaccumulate in human body in liver, kidney, and nervous systems [20].…”

Section: Occupation and Length Of Time Of Mercury Exposure To Neurmentioning

confidence: 99%

Neurological Status Disturbances Caused by Mercury Exposures from Artisanal Gold Mining Area in West Aceh, Aceh Province

Sofia

Ibrahim

Risqa

2017

Proceedings of the 1st Public Health International Conference (PHICo 2016)

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Abstract-Artisanal gold mining activities in developing countries are still in concern with environmental and health issues regarding the impact which results from the activities. Amalgamation technique using mercury was commonly applied in extracting gold from the ore. During the process, mercury releases into the environment in its metallic form and mercury vapor. Mercury releases to environment can harm population who work or live near mining area. Mercury is a highly toxic metal and it can penetrate nervous systems as the main target organ. Acute and chronic neurological disturbances can also be experienced by the communities. The aim of this study was to determine the relationship between occupation in the mining process, length of time of mercury exposure and neurological status disturbances in communities near artisanal gold mining area in West Aceh, and is known now as Aceh Jaya district, Aceh Province, Indonesia. A cross sectional design was conducted with 78 respondents who lived in villages namely, Paya Seumantok, Panggong, and Curek. Samples were collected by random sampling and respondents were interviewed and given general physical examination. Data were analyzed by Chi-Square test at α = 0.05. The results of this study showed that occupation in mining process has relationship with neurological status disturbances (p=0.004) whereas length of time of mercury exposure showed no relationship to neurological status disturbances (p=0.650). Respondents have experienced neurological disturbances such as headache (48.7%), insomnia (37.2 %), tremor (10.3%), memory loss and mood changes (9.0%), hearing impairment and somatosensory disturbances (3.8%). It can be concluded that efforts for monitoring and evaluation on artisanal gold mining in the areas have to be made by local government and stakeholders to prevent widespread of epidemy on mercury disasters. It is also needed to follow up the neurological status disturbances of the respondents clinically through intensive examination.

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Lead and mercury exposures: interpretation and action

Abstract: CMAJ 2007;176(1):59-63 (reference range < 50) nmol/d. The patient was not reassured by these results, since he found the different reference ranges used by the 2 laboratories confusing.Case 3

Cited by 102 publications

References 14 publications

A rare case of Homicidal Mercury poisoning

A rare case of Homicidal Mercury poisoning

Subcutaneous Injection of Metallic Mercury Mimicking Bacterial Cellulites: A Case Report

Neurological Status Disturbances Caused by Mercury Exposures from Artisanal Gold Mining Area in West Aceh, Aceh Province

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