Removal of Mercury by Peritoneal Dialysis

David T. Lowenthal, MD; Frank Chardo, MD; Marcus M. Reidenberg, MD
Arch Intern Med. 1974;134(1):139-141. doi:10.1001/archinte.1974.00320190141023.
Text Size: A A A
Published online

Acute poisoning with mercury bichloride is not common today. Recently, we had the opportunity to treat a hospital employee within minutes after he ingested 4 to 8 gm of mercury bichloride. Nevertheless, he developed acute renal failure. In conjunction with peritoneal dialysis we were able to collect and analyze data on the peritoneal clearance of mercury.

Patient Summary  A 35-year-old male hospital pharmacy employee ingested 4 to 8 gm of mercury bichloride and several glutethimide (Doriden) tablets. He was immediately taken to the emergency ward; gastric lavage with sodium bicarbonate and milk was begun within five minutes of ingestion and 350 mg of dimercaprol (BAL) was given intramuscularly within 30 minutes. The gastric lavage initially returned copious amounts of bluish tinted material but soon turned bloody. Within several minutes the patient was complaining of burning abdominal pain and excessive salivation.The patient had been hospitalized for hypertension and mental depression


Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

First Page Preview

View Large
First page PDF preview





Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Comment


Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.