He was under treatment by a surgeon for non-healing ulcer in a peripheral hospital for the last 1.5 months. On local examination, there were multiple ulcers, the largest of size 2 × 2 cm over the distal forearm and nodular lesions over the volar aspect of the forearm and lower arm. His general physical examination was unremarkable with stable vital signs.
Because injecting mercury locally does not lead to signs and symptoms of toxicity, adequate history from the patients is required, in the absence of which histopathology plays an important role in diagnosis.Ī 15-year-old male child presented to our tertiary care trauma center with multiple non-healing ulcers on the left forearm since 2 months following trauma by a sharp object. We hereby report and discuss the histopathology of a case of intentional subcutaneous mercury injection by a child leading to multiple ulcers and nodules formation in the wrist. Although it generally does not lead to systemic Effects, exceptions can occur when it inadvertently gets absorbed intravenously, leading to systemic toxicity. Self subcutaneous injection of elemental mercury is rare but well described, mainly used by those who are in suicidal depression or who seek to improve sexual or athletic performance.
Toxicity from contaminated fish in Minamata, Japan, has been widely reported, wherein poisoning from methyl mercury has been referred to as Minamata disease. There has been an abundance of published data regarding its toxicity. Mercury toxicity can occur in various ways depending on the forms of mercury, the amount of exposure and the route of entry into the body.
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