Mercury Bichloride Iatrogenic Poisoning: A Case Report

Dolianiti, Maria; Tasiopoulou, Karmen

doi:10.4172/2161-0495.1000290

Cited by 2 publications

(3 citation statements)

References 6 publications

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“…9 Iatrogenic cases of mercury exposure via injection also have been reported in the literature, including a case resulting in acute poisoning due to peritoneal lavage with mercury bichloride. 19 Acute mercury-induced pulmonary damage typically resolves completely. However, there have been reported cases of exposure progressing to interstitial emphysema, pneumatocele, pneumothorax, pneumomediastinum, interstitial fibrosis, and chronic respiratory insufficiency, with examples of fatal acute respiratory distress syndrome being reported.…”

Section: Commentmentioning

confidence: 99%

Erethism Mercurialis and Reactions to Elemental Mercury

Stone

Angermann

Sugarman

2021

Cutis

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Section: Commentmentioning

confidence: 99%

Erethism Mercurialis and Reactions to Elemental Mercury

Stone

Angermann

Sugarman

2021

Cutis

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“…7 A comprehensive literature review of publications from 2004 to the present resulted in discovery of 4 additional studies of iatrogenic mercury poisoning involving nine patients. [8][9][10][11] Etiology of iatrogenic mercury poisoning in these patients included use of mercury bichloride as an intraperitoneal wash, 9 inadvertent intrathecal injection of a mercury containing disinfectant, 10 and use of a mercury weighted bougie leading to systemic toxicity. 11 Following mercury injection, local tissue destruction occurs and is characterized by an acute inflammatory response leading to formation of granulomas, fibrosis, and eventual tissue necrosis.…”

mentioning

confidence: 99%

“…Of these, most were with suicidal intent via intravenous administration and far fewer were reportedly from subcutaneous injection, intentionally or not 7 . A comprehensive literature review of publications from 2004 to the present resulted in discovery of 4 additional studies of iatrogenic mercury poisoning involving nine patients 8–11 . Etiology of iatrogenic mercury poisoning in these patients included use of mercury bichloride as an intraperitoneal wash, 9 inadvertent intrathecal injection of a mercury containing disinfectant, 10 and use of a mercury weighted bougie leading to systemic toxicity 11 …”

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confidence: 99%

Surgical Management of Iatrogenic Mercury Poisoning From Subcutaneous Injection Into the Arm

Bowen,

Benedict,

Sullivan

et al. 2024

Ann Plast Surg

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Background Mercury, an element with threats of severe toxic insult to humans and no biological function, has a surprisingly extensive record of human exposure. Regardless of hesitancies toward its harmfulness, it has been historically identified with an almost supernatural power to provide protection from evil and sickness, give good fortune, lend aid in athletic undertakings, or even allow one to achieve immortality. Mercury poisoning is an iatrogenic disease even today as people attempt to achieve these effects through volitional injections into their body by practitioners. Although an uncommon practice in the United States, awareness of patient presentation after volitional injections of elemental mercury is necessary for appropriate treatment of these patients. We aim to increase awareness of the cultural practice of subcutaneous injections of mercury, as it is uncommonly seen in the United States, to contribute a broader understanding to the patient's medical presentation and describe an approach and the impact of medical and surgical intervention. Methods In this report, we describe a rare case of elemental mercury poisoning secondary to volitional subcutaneous injection to the arm. Initial management of care through chelation therapy and monitoring of renal and serum mercury levels in addition to symptoms of systemic spread was overseen by an internal medicine physician and poison control. Surgical intervention via full-thickness excision of the visible mercury to the right arm followed by local flap and skin grafting reconstruction was performed. Conclusions Mercury poisoning from intentional subcutaneous administration is an uncommon patient presentation in the United States; however, knowledge of management of this rare condition is important for effective management of iatrogenic mercury toxicity.

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Mercury Bichloride Iatrogenic Poisoning: A Case Report

Cited by 2 publications

References 6 publications

Erethism Mercurialis and Reactions to Elemental Mercury

Erethism Mercurialis and Reactions to Elemental Mercury

Surgical Management of Iatrogenic Mercury Poisoning From Subcutaneous Injection Into the Arm

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