A 3 Year-Old Male Child Ingested Approximately 750 Grams of Elemental Mercury

A 3 Year-Old Male Child Ingested Approximately 750 Grams of Elemental Mercury

Background: The oral ingestion of elemental mercury is unlikely to cause systemic toxicity, as it is poorly absorbed through the gastrointestinal system. However, abnormal gastrointestinal function or anatomy may allow elemental mercury into the bloodstream and the peritoneal space. Sys-temic effects of massive oral intake of mercury have rarely been reported. Case Report: In this paper, we are presenting the highest single oral intake of elemental mercury by a child aged 3 years. A Libyan boy aged 3 years ingested approximately 750 grams of elemental mercury and was still asymptom-atic. Conclusion: The patient had no existing disease or ab-normal gastrointestinal function or anatomy. The physical examination was normal. His serum mercury level was 91 ?g/L (normal:

___

  • Boyd AS, Seger D, Vannucci S, Langley M, Abraham JL, King LE Jr. Mercury exposure and cutaneous disease. J Am Acad Dermatol 2000;43:81-90. [Crossref]
  • McKay CA, Perez A, Goldstein R. Mercury. In: Erickson TB, Baum CR, Ling LJ, eds, Pediatric Toxicology: Diagnosis and Management of the Poisoned Child. NewYork, PA: The Mc- Graw-Hill Companies; 2005:468-75.
  • Kolkhorst KS, Kulkarni PM. Accidental metallic mercury in- gestion. J Am Osteopath Assoc 2012;112:381.
  • Mahajan PV. Heavy Metal Intoxication Mercury. In: Kliegman RM, Geme JW, Schor NF, Behrman RE, eds, Nelson Textbook of Pediatrics. 19th ed. Philadelphia PA: Elsevier Saunders 2011:2448. [Crossref]
  • Carman KB, Tutkun E, Yilmaz H, Dilber C, Dalkiran T, Cakir B, et al. Acute mercury poisoning among children in two prov- inces of Turkey. Eur J Pediatr 2013;172:821-7. [Crossref]
  • Yilmaz FM, Yilmaz H, Tutkun E, Uysal S, Carman KB, Dilber C, et al. Serum biochemical markers of central nerve system damage in children with acute elemental mercury intoxication. Clin Toxicol (Phila) 2014;52:32-8. [Crossref]
  • Agency for Toxic Substances and Disease Registry - ATSDR. Pub- lic Health Service. Toxicological Profile for Mercury 1999;1-676.
  • Caravati EM, Erdman AR, Christianson G, Nelson LS, Woolf AD, Booze LL, et al. Elemental mercury exposure: an evi- dence-based consensus guideline for out-of-hospital manage- ment. American Association of Poison Control, Centers. Clin Toxicol 2008;46:1-21. [Crossref]
  • Ruha AM, Tanen DA, Suchard JR, Curry SC. Combined inges- tion and subcutaneous injection of elemental mercury. J Emerg Med 2001;20:39-42. [Crossref]
  • Risher JF, De Rosa CT, Jones DE, Murray HE. Summary report for the expert panel review of the toxicological profile for mer- cury. Toxicol Ind Health 1999;15:483-516. [Crossref]