Intravenous administration of metallic mercury with homicidal intent

dc.contributor.author	Φράγκου, Κωνσταντίνα	el
dc.contributor.author	Μαρβάκη, Χριστίνα	el
dc.contributor.author	Παπαντωνίου, Τζεραλντίνη	el
dc.contributor.author	Ζήσιου, Ευφροσύνη	el
dc.contributor.author	Τριανταφύλλου, Εμμανουήλ	el
dc.date.accessioned	2015-01-27T10:36:18Z
dc.date.available	2015-01-27T10:36:18Z
dc.date.issued	2015-01-27
dc.identifier.uri	http://hdl.handle.net/11400/4835
dc.rights	Αναφορά Δημιουργού-Μη Εμπορική Χρήση-Όχι Παράγωγα Έργα 3.0 Ηνωμένες Πολιτείες	*
dc.rights.uri	http://creativecommons.org/licenses/by-nc-nd/3.0/us/	*
dc.source	http://www.hsj.gr	en
dc.subject	Mercury--Toxicology
dc.subject	intravenous injection
dc.subject	μεταλλικός υδράργυρος
dc.subject	ενδοφλέβια ένεση
dc.subject	δηλητηρίαση από υδράργυρο
dc.subject	κλινικές εκδηλώσεις
dc.subject	mercury poisoning
dc.subject	clinical manifestations
dc.title	Intravenous administration of metallic mercury with homicidal intent	en
heal.type	journalArticle
heal.secondaryTitle	Report of a new interesting case	en
heal.classification	Medicine
heal.classification	Hematology
heal.classification	Ιατρική
heal.classification	Αιματολογία
heal.classificationURI	http://id.loc.gov/authorities/subjects/sh00006614
heal.classificationURI	http://id.loc.gov/authorities/subjects/sh85060130
heal.classificationURI	N/A-Ιατρική
heal.classificationURI	N/A-Αιματολογία
heal.keywordURI	http://id.loc.gov/authorities/subjects/sh85083801
heal.keywordURI	http://lod.nal.usda.gov/34652
heal.language	en
heal.access	free
heal.recordProvider	Τεχνολογικό Εκπαιδευτικό Ίδρυμα Αθήνας. Σχολή Επαγγελμάτων Υγείας και Πρόνοιας. Τμήμα Νοσηλευτικής	el
heal.publicationDate	2014-12
heal.bibliographicCitation	Fragkou, K., Marvaki, C., Papantoniou, G., Zisiou, E. & Triantafyllou, E. (2014) Intravenous administration of metallic mercury with homicidal intent: report of a new interesting case. “Health Science Journal”. 8 (4). p. 541 - 547. Available at: http://www.hsj.gr [Accessed 27/01/2015]	en
heal.abstract	Introduction: Intravenous administration of metallic mercury (Hg) is a rare occurance that is usually reported in association with suicide attempts, with accidental injection, and with attempt of drug addicts to develope new ways to become intoxicated. Aim: The report of a new rare incident of intravenous administration of metallic Hg that was hospitalised in Intensive Care Unit of a General Greek Hospital. Material/Method: The presentation of a 22 years old female, with no medical history, that was admitted in a greek hospital after intravenous self- injection of metallic Hg. Results: The patient, primarly occured tightness in the precordial region, followed by burning pain in the chest, without respiratory distress. During the first hours of the threatment, the patient was awake and completely oriented to stimuli from the environment (GCS:15). Few hours later, she presented gradually descreased level of consciousness, followed by tremor (GCS:9). The patient started oral chelation therapy with the chelating agent DMSA/ succimer 800mg x3. After 2 hours, from the first dose of the chelating agent, the improvement of her consciousness level was remarkable. She was fully awake and had full communication with the environment. Blood and urine mercury levels were toxic. Radiographic examinations revealed multiple, tiny, metallic Hg emboli in patient's functional organs. Conclusions: Owing to the apparent rarity of the phenomenon, the immediate and long term health effects are uncertain and inconclusive. Chelation therapy is considered necessary.Prolonged monitoring of the patient's clinical status is required to prevent early and late reactions of acute or/and chronic Hg intoxication.	en
heal.publisher	Insight Medical Publishing	en
heal.journalName	Health Science Journal	en
heal.journalType	peer-reviewed
heal.fullTextAvailability	true