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BACKGROUND: Mercuric chloride (mercury (II) chloride) belongs to inorganic mercury compounds characterized by good water solubility and associated high toxicity. The paper describes an unusual case of intranasal intoxication with corrosive sublimate confused with cocaine by a young male.
METHODS: Intranasal administration of corrosive sublimate caused severe local symptoms of chemical burn within the nasal cavity. From the 2nd day the patient developed symptoms of renal dysfunction with transient polyuria and serum retention of nitrogen metabolites. The patient was undergoing chelation therapy with DMPS, N-acetylcysteine and d-penicyllamine. Four procedures of haemodialysis were performed with simultaneous DMPS and N-acetylcysteine treatment. The urine mercury level on the first day of hospitalization was 1989 μg/L, and after 26 days of treatment returned to the physiological level. During treatment renal function was normalized, the patient was discharged in general good condition.
CONCLUSIONS: Mercuric chloride is readily absorbed from the nasal cavity. Its administration may cause intoxication manifested by both chemical burn at the exposure site and systemic symptoms, particularly renal impairment. Even in case of renal dysfunction the use of DMPS seems safe, if haemodialysis is performed at the same time. Simultaneous haemodialysis and chelation therapy may accelerate elimination of mercury from the organism.

We report two cases of fatal intoxications with mercury, one intentional and the other allegedly resulting from a drug formulation mistake. Both cases occurred in the year of 2004. The first case refers to a man who ingested a great portion of a mercuric chloride solution. He attended a hospital emergency, submitted to treatment, but died after 49 days. In the second case, a woman applied on the chest skin an ointment containing a great quantity of mercury bromide. After 7 days of treatment in the hospital, she died. In both cases, samples of tissues and organs were collected at autopsy for mercury analysis. Because methylation of mercury in humans after exposure to metallic or inorganic mercury is almost unknown, both total mercury and methylmercury were quantified in the post-mortem samples. The quantifications were carried out by Cold Vapour Generation Atomic Absorption Spectrometry for total mercury and by HPLC-UV for methylmercury. The total mercury contents found in the post-mortem fluid and tissue samples were consentaneous with mercury poisoning. For the first case, the concentrations found, expressed in microg/g wet weight, were in the liver 49.9, lung 3.27 and brain 0.33, and for blood 11.7 microg/mL. For the second case, the concentrations expressed in microg/g wet weight were in the liver 46.6, lung 14.6, brain 0.21, kidney 77.7, stomach 7.12, spleen 6.4 and heart 2.34, and for blood and urine 2.95 and 1.40 microg/mL, respectively. Only in the first case was methylmercury found and quantified in liver (1.70 microg/g wet weight) and in blood (0.15 microg/mL) samples.

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OBJECTIVE: Optimization of process parameters for mercury removal by an Hg (II)-reducing Pseudomonas aeruginosa strain.
RESULTS: A strain of Ps. aeruginosa was found to reduce 10 mg l(-1) Hg (II) to Hg0 with 70% efficiency in 24 h. To optimize process performance, a statistical tool--Taguchi design of experiments (DOE)--was used to carry out 18 well-defined experiments (L18 Orthogonal array) with eight variable parameters (viz. agitation, temperature, pH, carbon source, medium volume: flask volume ratio and concentrations of Hg (II), ammonium sulfate and yeast extract). When data obtained were analyzed using specialized software for Taguchi design, Qualitek-4 (Nutek Inc., MI, USA), Hg (II) reduction efficiency was predicted to be 95% in 24 h under the optimized process parameters (also suggested by the software). In the validation experiment, Hg (II) removal of 99.29% in 24 h was indeed obtained.
CONCLUSIONS: Using Taguchi DOE, Hg (II) reduction (and hence its removal) using Ps. aeruginosa could be improved by 29.3%.
CONCLUSIONS: Taguchi approach could be employed as an efficient and time-saving strategy for parameter optimization in bioremediation processes.

A case of mercury-induced baboon syndrome was reported. A 31-year-old woman presented with itching papules and vesicles in the right axilla, which extended to the left axilla, arms, fossa poplitea, buttocks, and groin. A mercury thermometer was broken 2 days before exanthema. Patch testing to ammoniated mercury, mercury, mercuric chloride, and mercurochrome were positive. Blood and urine mercury level was marginally normal, yet showed a descending trend over time.

Pulicat Lake sediments are often severely polluted with mercury compounds and other toxic heavy metals. Several mercury-resistant bacteria were isolated and identified from the sediments and all the isolates exhibited broad spectrum resistance (both organic and inorganic mercuric compounds). Mercury volatilization showed that four of the isolated Bacillus cereus strains were able to reduce water soluble ionic form of mercury into volatile form via the well known enzymatic reduction. The effect of increasing concentration of mercuric chloride and phenyl mercuric acetate in the growth of this mercury reducing strain was also determined. To study the native physico-chemical parameters, which influence the bioavailability of mercury to bacteria in Pulicat Lake ecosystem, a total of 60 water and 30 sediment samples were collected and analyzed for pH, temperature, dissolved oxygen, salinity, nitrate, nitrite, silicate, phosphate, organic matter and organic carbon. Increased levels of phosphate, nitrite, nitrate, silicate, organic matter and organic carbon during the post monsoon reduce the bioavailability of mercury by forming complexes which may increase the concentration of mercury in the sediments during post monsoon.

The injection of HgCl2 to Wistar rats results in the affection of the excretory renal function, the development of immunosuppressive properties of red blood cells and the depression of immunological functions. The exposure to heat in combination with the injection of thiamin and inosin caused normalization of the immunological parameters of the intoxicated animals. The exposure to cold aggravates the severity of the immunological abnormalities induced by the injection of HgCl2. Thiamin in combination with inosin and carnitin with biotin significantly weaken the immunological disorders caused by intoxication and cooling.

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