Koshy Preethy, Seram Rajshree Devi, Pundkar Aditya
Emergency Medicine, Datta Meghe Institute of Higher Education and Research, Jawaharlal Nehru Medical College, Wardha, IND.
Orthopedics, Datta Meghe Institute of Higher Education and Research, Jawaharlal Nehru Medical College, Wardha, IND.
Cureus. 2024 Jul 29;16(7):e65699. doi: 10.7759/cureus.65699. eCollection 2024 Jul.
Mercury, a ubiquitous heavy metal, poses a significant threat to human health. Intravenous mercury poisoning is an uncommon but critical medical emergency. The nature and severity of its toxic effects depend on the form of mercury encountered: elemental, inorganic, or organic. It can affect almost all organ systems in the body. Chelating agents are the primary treatment for symptomatic mercury poisoning. This case report is about a 27-year-old male patient who presented to the emergency department with an alleged history of intravenous injection of mercury as an attempt at suicide, followed by breathlessness, chest pain, vomiting, and high-grade fever. He was managed with chelating therapy, non-invasive ventilation, and other supportive measures and was discharged home. After five days of discharge, he presented with fever and rashes and was diagnosed with toxic epidermal necrolysis (TEN). In spite of all aggressive management, he succumbed to death after four days of re-admission. Early intervention can significantly improve the chances of recovery. However, even with successful treatment, some individuals may experience long-term complications.
汞，一种广泛存在的重金属，对人类健康构成重大威胁。静脉汞中毒是一种罕见但严重的医疗急症。其毒性作用的性质和严重程度取决于所接触汞的形式：元素汞、无机汞或有机汞。它几乎会影响人体的所有器官系统。螯合剂是有症状汞中毒的主要治疗方法。本病例报告讲述的是一名27岁男性患者，他因涉嫌静脉注射汞企图自杀后，出现呼吸困难、胸痛、呕吐和高热而被送往急诊科。他接受了螯合疗法、无创通气及其他支持性措施治疗后出院回家。出院五天后，他出现发热和皮疹，被诊断为中毒性表皮坏死松解症（TEN）。尽管采取了所有积极的治疗措施，但再次入院四天后他还是死亡了。早期干预可显著提高康复几率。然而，即使治疗成功，一些人仍可能会出现长期并发症。
