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A Rare Cause of Chest Pain: Disseminated Elemental Mercury Microthromboembolism

机译:罕见的胸痛原因:弥散性元素汞微血栓栓塞

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Background: The clinical manifestations of mercury poisoning vary based on chemical form, dose, and route of administration. In the medical field, many of the cases of mercury exposure have been in mining agriculture, or chemical industrial workers via inhalation. Aim: To discuss the diagnosis of parenteral mercury poisoning with radiographic identification and potential sequelae. Case Presentation: We present the case of a young male with a chief complaint of chest pain and intravenous mercury administration found to be intentional as a suicide attempt. The chest radiographs lead to a wide differential diagnosis in a hemodynamically stable patient. Conclusion: While ingestion rarely causes toxicity due to the poor absorption of mercury through the gastrointestinal tract, intravenous elemental mercury can range from producing minimal symptoms to being severely toxic.
机译:背景:汞中毒的临床表现根据化学形式,剂量和给药途径而异。在医疗领域,许多汞接触案例是采矿业或化学工业工人通过吸入引起的。目的:探讨放射学鉴定和潜在后遗症对肠胃外汞中毒的诊断。病例介绍:我们以一名年轻男性患者为例,该病例主要表现为胸痛和静脉内施用汞,被认为是自杀尝试。胸部X光片可对血流动力学稳定的患者进行广泛的鉴别诊断。结论:虽然摄入的汞很少会由于在胃肠道中吸收不良而引起毒性,但静脉内的元素汞的危害范围从产生轻微症状到严重毒性。

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