@article{ref1,
title="Mercuric oxide poisoning treated with whole-bowel irrigation and chelation therapy",
journal="Annals of emergency medicine",
year="2002",
author="Ly, Binh T. and Williams, Saralyn R. and Clark, Richard F.",
volume="39",
number="3",
pages="312-315",
abstract="Most reported cases of inorganic mercury poisoning are from mercuric chloride. We report a case of mercuric oxide (HgO) powder ingestion. A 31-year-old man presented to an emergency department after ingestion of approximately 40 g of HgO. Soon after ingestion, he developed nausea, vomiting, and abdominal cramping. Abdominal radiograph revealed densely radiopaque material in the stomach. Gastrointestinal decontamination was accomplished with activated charcoal and whole-bowel irrigation with polyethylene glycol solution (Golytely) for 24 hours until repeat abdominal radiographs no longer demonstrated the substance in the gastrointestinal tract. He was also chelated with British anti-Lewisite for 5 days, followed by succimer for 10 days. He had markedly elevated urine and blood mercury levels after ingestion, but except for a mildly depressed serum bicarbonate (19 mEq/L), his chemistry results remained normal including blood urea nitrogen and creatinine. He had an uncomplicated hospital course and remained asymptomatic at 6 months postingestion. Despite elevated urine and blood mercury levels after ingestion of HgO, our patient did not develop the end-organ toxicity typical of inorganic mercury poisoning.<p /><p>Language: en</p>",
language="en",
issn="0196-0644",
doi="10.1067/mem.2002.119508",
url="http://dx.doi.org/10.1067/mem.2002.119508"
}