PDF(Pubmed)
Abstract：
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.
摘要：
静脉汞中毒是一种罕见但严重的医疗紧急情况，通常是由于意外暴露或故意自残造成的。我们介绍了一名30岁的男性，有镰状细胞性贫血病史，并伴有高烧，呕吐,头晕,静脉注射水银后呼吸困难。诊断挑战包括将急性汞毒性的症状与他的镰状细胞特征的慢性症状区分开。显著升高的血清汞水平证实了诊断，高分辨率计算机断层扫描（HRCT）成像研究显示汞沉积和肺泡肺损伤。管理涉及汞中毒的解毒剂，包括无创通气和输血，与多个专业的咨询。患者表现出明显的临床改善，并通过计划的随访出院。该病例强调了诊断和管理静脉内汞中毒的复杂性，强调综合多学科方法对最佳患者预后的重要性。
