Treatment for mercury poisoning3/12/2024 We treated our patient with antidote for following reasons: blood mercury levels on day 3 in toxic range (as per the CDC) acute mercury exposure unrelated to food, and younger age, and mild symptoms. Hence, starting antidote was a tough decision in this case. One commonly used reference is 0.6–59 µg/L. Different cut-offs by laboratories also affect the antidote treatment decision (normal blood mercury range: 0.2–1.3 µg/L). Further, the mercury levels requiring treatment due to food-related mercury exposure should be set higher than the threshold mercury concentration level known to affect health, but that is not the case in index child. In the index child, blood mercury levels were done on day 3 of exposure and levels could have been higher on day 1. Different treatments for mercury poisoning have since been developed, and 'quiet baby syndrome', characterised by a baby who never cries, is now a recognised symptom of methylmercury-induced brain damage. In 1956, there had been around 200 cases. Moreover, blood mercury levels increase rapidly immediately after exposure. Previous mercury-poisoning incidents had occurred in Iraq in 19. Although very young children are more sensitive to mercury than adults, it is not clear whether antidote therapy should be started in cases with mild symptoms but marginally higher blood mercury levels. The person may receive: Fluids through a vein (IV) Medicines to treat symptoms Activated charcoal, a medicine that soaks up many substances from the stomach Medicines called chelators to remove mercury from the blood ORGANIC MERCURY. The index child fits into the case definition of a confirmed case as he had acute toxic exposure, mild symptoms, and blood mercury levels of 16.5 µg/L. For inorganic mercury poisoning, treatment often begins with supportive care. Centers for Disease Control and Prevention (CDC) defines toxic blood levels of mercury as >10 µg/L.
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