Case Report

Delayed Use of Dimercaprol in Elemental Mercury Inhalation:Two Case Reports with Severe Pulmonary Injury

Volume: 7 Number: 3 January 10, 2026

Delayed Use of Dimercaprol in Elemental Mercury Inhalation:Two Case Reports with Severe Pulmonary Injury

Abstract

Mercury inhalation toxicity can cause severe lung damage and may be fatal without appropriate intervention. This article presents two patients who were exposed to elemental mercury during artisanal gold mining and developed shortness of breath with bilateral lung infiltrates. Both patients were administered intramuscular Dimercaprol with a delay. Despite the late intervention, both recovered without sequelae. These cases highlight the potential role of chelation therapy even in the late stage of mercury poisoning.

Keywords

References

  1. Vianna ADS, Matos EP, Jesus IM, et al. Human exposure to mercury and its hematological effects: a systematic review. Cad Saude Publica. 2019;35(2): e00091618.
  2. Noble MJ, Decker SL, Horowitz BZ. Inhalational mercury toxicity from artisanal gold extraction reported to the Oregon poison center, 2002-2015. Clin Toxicol (Phila). 2016;54(9):847–851.
  3. Baughman TA. Elemental mercury spills. Environ Health Perspect. 2006;114(2):147–152.
  4. Counter SA, Buchanan LH. Mercury exposure in children: a review. Toxicol Appl Pharmacol. 2004;198(2):209–230.
  5. Antunes Dos Santos A, Appel Hort M, Culbreth M, et al. Methylmercury and brain development: A review of recent literature. J Trace Elem Med Biol. 2016; 38:99–107.
  6. Dargan PI, Giles LJ, Wallace CI, et al. Case report: severe mercuric sulphate poisoning treated with 2,3 dimercaptopropane-1-sulphonate and haemodiafiltration. Crit Care. 2003;7(6): R204-9.
  7. Bernhoft RA. Mercury toxicity and treatment: a review of the literature. J Environ Public Health. 2012; 2012:460508.
  8. Toet AE, van Dijk A, Savelkoul TJ, Meulenbelt J. Mercury kinetics in a case of severe mercuric chloride poisoning treated with dimercapto-1-propane sulphonate (DMPS). Hum Exp Toxicol. 1994;13(1):11–16.

Details

Primary Language

English

Subjects

Emergency Medicine

Journal Section

Case Report

Publication Date

January 10, 2026

Submission Date

August 2, 2025

Acceptance Date

December 16, 2025

Published in Issue

Year 2026 Volume: 7 Number: 3

APA
Giray, T. A., Sağlık, A., Akçebe, A., & Ocak, T. (2026). Delayed Use of Dimercaprol in Elemental Mercury Inhalation:Two Case Reports with Severe Pulmonary Injury. Eurasian Journal of Toxicology, 7(3), 69-72. https://doi.org/10.51262/ejtox.1754672
AMA
1.Giray TA, Sağlık A, Akçebe A, Ocak T. Delayed Use of Dimercaprol in Elemental Mercury Inhalation:Two Case Reports with Severe Pulmonary Injury. Eurasian J Tox. 2026;7(3):69-72. doi:10.51262/ejtox.1754672
Chicago
Giray, Tufan Akın, Ali Sağlık, Ayşegül Akçebe, and Tarık Ocak. 2026. “Delayed Use of Dimercaprol in Elemental Mercury Inhalation:Two Case Reports With Severe Pulmonary Injury”. Eurasian Journal of Toxicology 7 (3): 69-72. https://doi.org/10.51262/ejtox.1754672.
EndNote
Giray TA, Sağlık A, Akçebe A, Ocak T (January 1, 2026) Delayed Use of Dimercaprol in Elemental Mercury Inhalation:Two Case Reports with Severe Pulmonary Injury. Eurasian Journal of Toxicology 7 3 69–72.
IEEE
[1]T. A. Giray, A. Sağlık, A. Akçebe, and T. Ocak, “Delayed Use of Dimercaprol in Elemental Mercury Inhalation:Two Case Reports with Severe Pulmonary Injury”, Eurasian J Tox, vol. 7, no. 3, pp. 69–72, Jan. 2026, doi: 10.51262/ejtox.1754672.
ISNAD
Giray, Tufan Akın - Sağlık, Ali - Akçebe, Ayşegül - Ocak, Tarık. “Delayed Use of Dimercaprol in Elemental Mercury Inhalation:Two Case Reports With Severe Pulmonary Injury”. Eurasian Journal of Toxicology 7/3 (January 1, 2026): 69-72. https://doi.org/10.51262/ejtox.1754672.
JAMA
1.Giray TA, Sağlık A, Akçebe A, Ocak T. Delayed Use of Dimercaprol in Elemental Mercury Inhalation:Two Case Reports with Severe Pulmonary Injury. Eurasian J Tox. 2026;7:69–72.
MLA
Giray, Tufan Akın, et al. “Delayed Use of Dimercaprol in Elemental Mercury Inhalation:Two Case Reports With Severe Pulmonary Injury”. Eurasian Journal of Toxicology, vol. 7, no. 3, Jan. 2026, pp. 69-72, doi:10.51262/ejtox.1754672.
Vancouver
1.Tufan Akın Giray, Ali Sağlık, Ayşegül Akçebe, Tarık Ocak. Delayed Use of Dimercaprol in Elemental Mercury Inhalation:Two Case Reports with Severe Pulmonary Injury. Eurasian J Tox. 2026 Jan. 1;7(3):69-72. doi:10.51262/ejtox.1754672