Sukheeja Deepti, Kumar Pankaj, Singhal Maneesh, Subramanian Arulselvi
Department of Laboratory Medicine, Jai Prakash Narayan Apex Trauma Centre, All India Institute of Medical Sciences, New Delhi, India.
Department of Surgery, Jai Prakash Narayan Apex Trauma Centre, All India Institute of Medical Sciences, New Delhi, India.
J Lab Physicians. 2014 Jan;6(1):55-7. doi: 10.4103/0974-2727.129095.
Intentional subcutaneous injection of mercury by mentally healthy children is rare. Usually, it is seen as a part of suicidal attempt in severely depressed patients or by athletes to enhance their performance. We report a case of a 15-year-old child, inspired by a movie, who deliberately self-injected mercury subcutaneously into his forearm that led to the formation of a non-healing ulcer. Histopathology of the biopsy confirmed the diagnosis. A surgical procedure was thereby performed to treat the ulcer and reduce the blood and urinary levels of mercury. However, the patient did not develop clinical signs of chronic poisoning, proving that subcutaneous mercury injection has a low risk of systemic toxicity, and that histopathology plays an important role in diagnosis.
心理健康的儿童故意皮下注射汞的情况很少见。通常，这被视为重度抑郁症患者自杀企图的一部分，或者是运动员为提高成绩而进行的行为。我们报告一例15岁儿童的病例，该儿童受一部电影启发，故意将汞皮下注射到自己的前臂，导致形成了一个不愈合的溃疡。活检的组织病理学证实了诊断。因此进行了手术治疗溃疡并降低血液和尿液中的汞含量。然而，该患者并未出现慢性中毒的临床症状，证明皮下注射汞的全身毒性风险较低，且组织病理学在诊断中起着重要作用。
