An 11-year-old female was seen at our outpatient clinic with a broad variety of symptoms that were due to elemental mercury intoxication. Electromyography and sequential electroencephalography findings obtained at days 2, 36, 88 and 148 are described. The patient was treated with chelation therapy during which she clinically improved considerably. A profound decrease in urinary mercury concentration occurred as well as normalization of the electroencephalogram.
AllenCounter SBuchananLH. Mercury exposure in children: a review. Toxicol Appl Pharmacol2004; 198(2): 209–230.
2.
ClarksonTW. Mercury: major issues in environmental health. Environ Health Perspect1992; 100:31–38.
3.
SatohH. Occupational and environmental toxicology of mercury and its compounds. Indust Health2000; 38(2): 153–164.
4.
MartinMDWilliamsBJCharlestonJDOdaD. Spontaneous exfoliation of teeth following severe elemental mercury poisoning: case report and histological investigation for mechanism. Oral Surg Oral Med Oral Pathol1997; 84(5): 495–501.
5.
HartsfieldJK. Premature exfoliation of teeth in childhood and adolescence. Advanc Pediatrics1994; 41:453–470.
SchwartzJGSniderTEMontielMM. Toxicity of a family from vacuumed mercury. Am J Emergency Med1992; 10(3): 258–261.
10.
RisherJFAmlerSN. Mercury exposure: evaluation and intervention. The inappropriate use of chelation agents in the diagnosis and treatment of putative mercury poisoning. Neurotoxicology2005; 26(4): 691–699.
11.
PiikiviLTolonenU. EEG- findings in chlor-alkali workers subjected to low long term exposure to mercury vapour. Br J Indust Med1989; 46(6): 370–375.