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Journal Information
Vol. 43. Issue 10.
Pages 585-587 (January 2007)
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Vol. 43. Issue 10.
Pages 585-587 (January 2007)
Case Report
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Pulmonary Embolism Caused by Elemental Mercury
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María José, Lorenzo Dus
Corresponding author
MJDUS@hotmail.com

Correspondence: Dra. M.J. Lorenzo Dus. Servicio de Neumología. Hospital Universitario La Fe. Avda. Campanar, 21. 46009 Valencia. España
, Enrique Cases Viedma, Javier Bravo Gutiérrez, Amparo Lloris Bayo, José Luis Sanchis Aldás
Servicio de Neumología, Hospital Universitario La Fe, Valencia. Spain
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Article information

Intravenous mercury administration is a rare occurrence that is typically associated with accidental injections or suicide attempts. We report the case of a 42-year-old man who attempted suicide by injecting mercury into the left cubital vein. Upon arrival at the emergency department, he was in a state of alcohol intoxication and there were signs of vein puncture and cellulitis in his left arm. He had no respiratory symptoms. A chest x-ray revealed numerous metallic opacities dispersed throughout both lungs. He was admitted to hospital and treated with chelating agents (dimercaprol) and hemodialysis. A month later, the patient returned to the emergency department with respiratory symptoms, and a chest x-ray revealed right pleural effusion.

Key words:
Mercury
Pulmonary embolism
Treatment

La administración intravenosa de mercurio es un hecho infrecuente que suele asociarse a inyecciones accidentales o a intentos de suicidio. A continuación presentamos el caso de un varón de 42 años que se administró mercurio intravenoso en la vena cubital izquierda con fines autolíticos. Acudió al servicio de urgencias por intoxicación etílica. Presentaba signos de venopunción con celulitis en el brazo izquierdo y se encontraba asintomático desde el punto de vista respiratorio. La radiografía de tórax mostraba múltiples opacidades metálicas dispersas en ambos pulmones. El paciente fue ingresado y tratado con quelantes (dimercaprol) y hemodiálisis. Al mes acudió de nuevo a urgencias con clínica respiratoria y presencia de derrame pleural derecho en la radiografía de tórax.

Palabras clave:
Mercurio
Embolia pulmonar
Tratamiento
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Copyright © 2007. Sociedad Española de Neumología y Cirugía Torácica (SEPAR)
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