Unusual complication of an Alaskan cruise: thinking outside the box.

Autor: Bhandare D; Department of Cardiolgy, Florida Hospital Heartland Medical Center, Sebring, Florida, USA., Ruchi R; Department of Medicine/Nephrology, University of Florida, Gainesville, Florida, USA.
Jazyk: angličtina
Zdroj: BMJ case reports [BMJ Case Rep] 2019 Feb 26; Vol. 12 (2). Date of Electronic Publication: 2019 Feb 26.
DOI: 10.1136/bcr-2018-227727
Abstrakt: A 69-year-old man with a medical history of hypertension and diabetes presented with altered mental status once he returned from a 14-day Alaskan cruise. An extensive workup for stroke was negative. His physical examination was normal without any focal motor deficits, but he had developed memory loss and paresthesia. He admitted to eating a lot of fish when he was in Alaska. The whole-blood mercury level was found to be elevated. He was managed conservatively and his symptoms resolved completely in a few days. This led to a diagnosis of organic mercury toxicity.
Competing Interests: Competing interests: None declared.
(© BMJ Publishing Group Limited 2019. No commercial re-use. See rights and permissions. Published by BMJ.)
Databáze: MEDLINE