{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,21]],"date-time":"2026-07-21T02:03:10Z","timestamp":1784599390085,"version":"3.55.0"},"reference-count":28,"publisher":"Springer Science and Business Media LLC","issue":"5","license":[{"start":{"date-parts":[[2025,4,23]],"date-time":"2025-04-23T00:00:00Z","timestamp":1745366400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,4,23]],"date-time":"2025-04-23T00:00:00Z","timestamp":1745366400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100010612","name":"Duzce University","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100010612","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Eur J Pediatr"],"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:p>Mercury   (Hg) is a toxic heavy metal with extensive applications. In children, mercury exposure often occurs inadvertently through laboratories, thermometers, or fluorescent lamps. Inhalation of elemental mercury can affect the central nervous system and urinary system. Early diagnosis and treatment are crucial to prevent severe complications. A retrospective evaluation was conducted on 82 pediatric cases of mercury poisoning who presented to Bing\u00f6l State Hospital on January 15, 2020. Blood and urine mercury levels were measured. Patients with mercury levels\u2009&gt;\u200910\u00a0\u03bcg\/L received intravenous treatment with 2,3-dimercaptopropane sulfonic acid (DMPS) for 5\u00a0days. Plasma and urine mercury levels were analyzed before and after treatment. Adverse effects of treatment and follow-up processes were also examined. Of the patients, 43.9% were female, and 56.1% were male, with a mean age of 9.4\u2009\u00b1\u20093.2\u00a0years. A total of 42.7% of cases were symptomatic, with headache being the most common symptom (26.8%). Significant reductions in blood and urine mercury levels were observed after treatment (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001). Adverse effects of the drug were reported in 43.9% of cases, with nausea (50%) and itching (25%) being the most frequent.<\/jats:p>\n          <jats:p>\n            <jats:italic>Conclusion<\/jats:italic>: Chelation therapy was effective in significantly reducing mercury levels in cases of mercury poisoning. Adverse effects must be carefully managed, and long-term follow-up is essential. This study provides significant contributions to the literature on mass mercury poisoning cases.<\/jats:p>\n          <jats:p>\n            <jats:table-wrap>\n              <jats:table>\n                <jats:tbody>\n                  <jats:tr>\n                    <jats:td align=\"left\">\n                      <jats:bold>What is Known:<\/jats:bold>\u2022 <jats:italic>Symptoms of mercury poisoning.<\/jats:italic>\n                    <\/jats:td>\n                  <\/jats:tr>\n                  <jats:tr>\n                    <jats:td align=\"left\">\n                      <jats:bold>What is New:<\/jats:bold>\u2022 <jats:italic>Long-term outcomes of DMPS therapy in 82 patients.<\/jats:italic>\n                    <\/jats:td>\n                  <\/jats:tr>\n                <\/jats:tbody>\n              <\/jats:table>\n            <\/jats:table-wrap>\n          <\/jats:p>","DOI":"10.1007\/s00431-025-06143-3","type":"journal-article","created":{"date-parts":[[2025,4,23]],"date-time":"2025-04-23T06:59:25Z","timestamp":1745391565000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Evaluation of mass mercury poisoning cases occurring in a center in T\u00fcrkiye: symptomatology, treatment methods, and follow-up processes"],"prefix":"10.1007","volume":"184","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1975-6492","authenticated-orcid":false,"given":"Fatih","family":"Kurt","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-1004-8362","authenticated-orcid":false,"given":"Abdullah","family":"Akcil","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0732-8952","authenticated-orcid":false,"given":"Sengul","family":"Cangur","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-4075-9854","authenticated-orcid":false,"given":"Mustafa","family":"Y\u0131ld\u0131z","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,4,23]]},"reference":[{"issue":"8","key":"6143_CR1","doi-asserted-by":"publisher","first-page":"1333","DOI":"10.1007\/s00296-020-04589-2","volume":"40","author":"M Yildiz","year":"2020","unstructured":"Yildiz M, Adrovic A, Gurup A, KarabagYilmaz E, Ozer Y, Koker O, Sahin S, Kiykim E, Canpolat N, Barut K, Kasapcopur O (2020) Mercury intoxication resembling pediatric rheumatic diseases: case series and literature review. 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This study was approved by the Elaz\u0131g Fethi Sekin City Hospital Ethics Committee (Decision no:2024\/2\u201314, Approval Date: 24.10.2024).","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval"}},{"value":"All parents and participating children were informed about the benefit\/risk status of the study in accordance with their age and cognitive level, and their voluntary participation was ensured. Written\/informed consent was obtained from their parents\/legal guardians.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent to participate"}},{"value":"All the authors approved the manuscript for publication.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"309"}}