Subcutaneous Injection of Metallic Mercury

Krohn, Ivan T.; Solof, Arnold; Mobini, Jalal; Wagner, David K.

doi:10.1001/jama.1980.03300320040022

Cited by 34 publications

(7 citation statements)

References 4 publications

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“…Once subcutaneous mercury injection is confirmed, immediate excision of the subcutaneous areas to which mercury is injected has been highly recommended (Ellabban et al, 2003;Krohn et al, 1980). Afterward, to monitor the systemic toxicity the central nervous system and renal and pulmonary functions should be assessed (Kayias et al, 2003;Ellabban et al, 2003;Krohn et al, 1980).…”

Section: Resultsmentioning

confidence: 99%

“…Afterward, to monitor the systemic toxicity the central nervous system and renal and pulmonary functions should be assessed (Kayias et al, 2003;Ellabban et al, 2003;Krohn et al, 1980). Although controversial, chelation therapy with penicillamine or dimercaptopropanol has been found beneficial in some previous reports (Oh et al, 2007;Krohn et al, 1980) Moreover, psychiatric consultation and treatment might be indicated in some cases (Ellabban et al, 2003;Krohn et al, 1980).…”

Section: Resultsmentioning

confidence: 99%

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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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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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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“…Subcutaneous metallic mercury may cause a local fibrous reaction (Rachman, 1974), Abscess formation (Hill, 1967;Krohn et al, 1980), pulmonary embolisation (Conrad et al, 1957) and even death (Johnson & Koumides, 1967). Although there have been sporadic reports in the literature, injury with metallic mercury is rare (Johnson & Koumides, 1967).…”

Section: Discussionmentioning

confidence: 99%

The accidental self-injection of mercury: a hazard for glass-blowers.

Bleach¹,

McLean²

1987

Emergency Medicine Journal

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INTRODUCTIONMercury is widely used in the chemical and paper industry, medicine and agriculture, but metallic mercury poisoning is rare and the clinical outcome is unpredictable (Johnson & Koumides, 1967).This paper reports a case of accidental self injection of mercury into the palm of a glass-blower occurring during the manufacture of mercury thermometers. CASE REPORTA 57-year-old right-handed glass-blower presented with a penetrating injury to the hypothenar eminence of his left hand sustained as he was tapping the bulb to dislodge air bubbles while making a mercury thermometer.The hypothenar eminence was swollen with a small puncture wound 3 cm from the distal wrist crease. There was no tendon or neurovascular damage. A radiograph showed multiple subcutaneous droplets of metallic mercury (Fig. 1).The arm was exanguinated by elevation and the puncture wound excised as an ellipse releasing many of the mercury droplets. The remainder were removed using a small sucker and fine forceps, and the wound flushed with copious amounts of saline. A 2-cmlong sliver of glass was removed from Guyon's canal, the wound packed, elevated and closed by delayed primary closure at 5 days. Healing was uneventful and the patient returned to work 2 weeks later. His chest X-ray was then normal, and serum and urinary mercury assays were normal.

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“…Management of cutaneous injury by metallic mercury includes excision of all cutaneous and subcutaneous tissue containing mercury as soon as possible and under X‐ray guidance 8 . Measurement of mercury levels in the blood and urine, before and after operation, is indicated in all cases, to determine systemic absorption 6 .…”

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confidence: 99%