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Unusual complication of an Alaskan cruise: thinking outside the box. (Mercury poisoning)

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  • Unusual complication of an Alaskan cruise: thinking outside the box. (Mercury poisoning)

    https://www.ncbi.nlm.nih.gov/pubmed/30814099
    BMJ Case Rep. 2019 Feb 26;12(2). pii: e227727. doi: 10.1136/bcr-2018-227727. Unusual complication of an Alaskan cruise: thinking outside the box.

    Bhandare D1, Ruchi R2. Author information

    Abstract

    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.
    ? BMJ Publishing Group Limited 2019. No commercial re-use. See rights and permissions. Published by BMJ.

    KEYWORDS: neurology (drugs and medicines); poisoning
    See also:
    https://www.ncbi.nlm.nih.gov/pubmed/29093364 Mercury poisoning in a fisherman working on a pelagic fishing vessel due to excessive tuna consumption. (2018)

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