Bothara Shivani S, Parihar Pratapsingh, Patil Ravishankar
Radiodiagnosis, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.
Cureus. 2024 Jul 12;16(7):e64383. doi: 10.7759/cureus.64383. eCollection 2024 Jul.
Intravenous mercury poisoning is a rare but severe medical emergency, often resulting from accidental exposure or intentional self-harm. We present the case of a 30-year-old male with a history of sickle cell anemia who presented with high-grade fever, vomiting, giddiness, and breathlessness following intravenous mercury self-administration. Diagnostic challenges included distinguishing symptoms of acute mercury toxicity from those of his chronic condition of sickle cell trait. Markedly elevated serum mercury levels confirmed the diagnosis, with high-resolution computed tomography (HRCT) imaging studies revealing mercury deposits and alveolar lung injury. Management involved antidote of mercury poisoning, including non-invasive ventilation and transfusions, with consultations from multiple specialties. The patient demonstrated significant clinical improvement and was discharged with scheduled follow-ups. This case underscores the complexity of diagnosing and managing intravenous mercury poisoning, highlighting the importance of a comprehensive multidisciplinary approach for optimal patient outcomes.
静脉汞中毒是一种罕见但严重的医疗急症，通常由意外接触或故意自残导致。我们报告一例30岁男性病例，该患者有镰状细胞贫血病史，在自行静脉注射汞后出现高热、呕吐、头晕和呼吸急促。诊断挑战包括区分急性汞中毒症状与他的镰状细胞特征慢性病症状。血清汞水平显著升高确诊了病情，高分辨率计算机断层扫描（HRCT）成像研究显示有汞沉积和肺泡肺损伤。治疗包括汞中毒解毒剂，如无创通气和输血，并咨询了多个专科。患者临床症状有显著改善，出院时安排了随访。该病例强调了诊断和处理静脉汞中毒的复杂性，突出了采取全面多学科方法以实现最佳患者预后的重要性。
