title: [Pulmonary embolism caused by elemental mercury].
abstract: Intravenous mercury administration is a rare occurrence that is typically associated with accidental injections or suicide attempts. We report the case of a 42-year-old man who attempted suicide by injecting mercury into the left cubital vein. Upon arrival at the emergency department, he was in a state of alcohol intoxication and there were signs of vein puncture and cellulitis in his left arm. He had no respiratory symptoms. A chest x-ray revealed numerous metallic opacities dispersed throughout both lungs. He was admitted to hospital and treated with chelating agents (dimercaprol) and hemodialysis. A month later, the patient returned to the emergency department with respiratory symptoms, and a chest x-ray revealed right pleural effusion.
authors.affiliation: Servicio de Neumología, Hospital Universitario La Fe, Valencia, España. MJDUS@hotmail.com
authors.forename: María José
authors.initials: MJ
authors.lastname: Lorenzo Dus
authors.forename: Enrique
authors.initials: E
authors.lastname: Cases Viedma
authors.forename: Javier
authors.initials: J
authors.lastname: Bravo Gutiérrez
authors.forename: Amparo
authors.initials: A
authors.lastname: Lloris Bayo
authors.forename: José Luis
authors.initials: JL
authors.lastname: Sanchis Aldás
mesh_terms: D000328:Adult; D006801:Humans; D007275:Injections, Intravenous; D008297:Male; D008628:Mercury / Q000008:administration & dosage*; D008630:Mercury Poisoning / Q000150:complications*; D011655:Pulmonary Embolism / Q000139:chemically induced*; D013406:Suicide, Attempted
chemical_list: D008628:Mercury