Cases to Discussed:

1. A family presented to a community emergency department (ED) twice within one week with worsening non-specific symptoms attributed to an infectious etiology. Thorough history taking on the third ED visit revealed this to be protracted elemental mercury toxicity which required chelation for two patients and extensive environmental clean up.
2. Three children presented in the ED with rash and fever. Initially sent home and returned the next day with worsening symptoms. The oldest child wondered if it could have been due to a silver like substance that he found in a bottle along the railroad track near his home.

Elizabeth Silver, PharmD

Clinical Toxicology Fellow

Georgia Poison Center

Atlanta, GA

 

 

 

 

Paul Wax, MD, FACMT

Executive Director, American College of Medical ToxicologyProgram Director, Pediatric Environmental Health Specialty Units-West

Phoenix, AZ

Regional Director

Emory University

Atlanta, GA

Region 4 PEHSU