article · Toxicology Reports
Although acute mercury exposure is a rare incidence, it may represent a potential threat as an occupational hazard or suicide attempt. This report aimed to state a case of survival after ingestion of a lethal dose of mercuric chloride. A 3.5-year-old child was admitted to Alexandria poison center half an hour after accidental ingestion of 4.9 g of mercuric chloride. The case presented with severe respiratory distress, hemodynamically instability, and Posterior Reversible Encephalopathy Syndrome (PRES). The multidisciplinary team of physicians faced real challenges in the management of this case to cope with the stormy course and proper timing of the antidote of choice as regards safety and efficacy together with the technique used for excretion of large molecular weight DMPS-mercury complex through continuous veno-venous hemodialysis.
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DOI: 10.1016/j.toxrep.2025.101963
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