ORIGINAL RESEARCH
Diagnostic and Environmental Procedures
in Accidental Mercury Vapor Intoxication –
Experiences from an Outpatient Clinic
Joanna Kasznia-Kocot, Beata Dąbkowska, Maja Muszyńska-Graca,
Renata Złotkowska, Piotr Zygmunt Brewczyński
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Institute of Occupational Medicine and Environmental Health,
Department of Environmental Health and Epidemiology, Kościelna 13, 41-200 Sosnowiec, Poland
Pol. J. Environ. Stud. 2010;19(3):579-585
KEYWORDS
ABSTRACT
This paper presents examples of improper reactions to unintentional mercury spills. Seven families consisting
of 22 people – 15 adults and 7 children – (including 2 breastfed babies) were exposed to metallic mercury
vapors. U-Hg levels ranged from 14.5 to 222.8 μg/g creatinine. Among patients exposed to mercury
vapor we noticed fatigue and weariness, excessive sleepiness, hyperexcitability, and headaches. A stomachache
was reported by 3 adults, and a metallic taste in the mouth and a feeling of “thickening of mucous
membranes” by 1 patient. In 2 cases allergic rash and erythema on the hands were observed, but 6 patients
stayed asymptomatic. Among children, neuropsychological disturbances (intention tremor, EEG changes,
emotional lability, withdrawal) were found in a 5-year-old girl (who also had the highest U-Hg value – 222.8
μg/g of creatinine), who stayed with family for 22 days after a mercury spill. This study emphasizes the need
for continuous education of different groups of population regarding rules of properly handling metallic mercury
vapor.
The algorithm of immediate reaction in cases of accidental exposure to metallic mercury vapor should
be elaborated uppon and made available to medical professionals and emergency services.