水星,一种无处不在的重金属,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紧急情况。其毒性作用的性质和严重程度取决于所遇到的汞的形式:元素,无机,或者有机的。它可以影响身体的几乎所有器官系统。螯合剂是症状性汞中毒的主要治疗方法。该病例报告是关于一名27岁的男性患者,他被指控有静脉注射汞作为自杀未遂的历史,被送往急诊科,接着是呼吸困难,胸痛,呕吐,和高烧。他接受了螯合疗法,无创通气,和其他支持措施,并出院回家。出院五天后,他出现发烧和皮疹,并被诊断为中毒性表皮坏死松解症(TEN)。尽管有积极的管理,重新入院四天后,他死于死亡。早期干预可以显着提高恢复的机会。然而,即使成功的治疗,有些人可能会出现长期并发症。
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.