{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,5]],"date-time":"2026-01-05T22:19:00Z","timestamp":1767651540496,"version":"3.40.5"},"reference-count":41,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"10","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":["Pediatr Emer Care"],"published-print":{"date-parts":[[2022,10]]},"abstract":"\n Objectives<\/jats:title>\n Mercury exposure is common and can be toxic, especially in children. Children are often drawn to elemental mercury because of its density, color, and proclivity to form beads.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n We present data on 49 children with mercury intoxication (MI) and 60 children with mercury exposure from Turkey.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n The most common source of mercury was broken thermometer in schools. Inhaling mercury vapor was the most common route of exposure. The median exposure time was 6 (6\u201316) hours in the MI group, and the time to 1st symptoms was 10 (0\u201324) hours. In the MI group, the median blood mercury level was 21 \u03bcg\/L (13\u201332.3), the median spot urine mercury level was 40 \u03bcg\/L (7.66\u201378), and the median 24-hour urine mercury level was 25.8 \u03bcg\/L (11\u201364). The most common symptoms in patients with MI were malaise, muscle pain, muscle cramps, abdominal pain, nausea, headache, and decreased appetite. The patients were treated with n-acetyl cysteine, 2,3-dimercaptopropane sulfonic acid, D-penicillamine, and meso 2,3-dimercaptosuccinic acid. A positive correlation was found between exposure time and urinary mercury level in the MI group (r = 0.793, P<\/jats:italic> < 0.001). A positive moderate correlation was found between exposure time and blood level in the mercury exposure group (r = 0.535, P<\/jats:italic> < 0.00). The neurological and systemic examinations of patients were all normal at the 1st follow-up visit 1 month after discharge.<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n Diagnosis, removal of the exposure source, and use of chelation therapy can result in complete resolution of the signs and symptoms of MI.<\/jats:p>\n <\/jats:sec>","DOI":"10.1097\/pec.0000000000002834","type":"journal-article","created":{"date-parts":[[2022,9,6]],"date-time":"2022-09-06T16:01:46Z","timestamp":1662480106000},"page":"481-488","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":4,"title":["Characteristics, Treatment, and Prognosis of Elemental Mercury Intoxication in Children"],"prefix":"10.1097","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4293-910X","authenticated-orcid":false,"given":"Deniz","family":"G\u00fcven","sequence":"first","affiliation":[{"name":"Department of Pediatrics, University of Health Sciences, Ankara Atat\u00fcrk Sanatorium Training and Research Hospital, Ankara, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0097-7586","authenticated-orcid":false,"given":"\u0130mran","family":"\u00d6zbek","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Ankara Gazi Mustafa Kemal Occupational and Environmental Diseases Hospital, Ankara, Turkey."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","published-online":{"date-parts":[[2022,9,2]]},"reference":[{"key":"bib1-20250504","doi-asserted-by":"crossref","first-page":"197","DOI":"10.1542\/peds.108.1.197","article-title":"Technical report: mercury in the environment: implications for pediatricians","volume":"108","year":"2001","journal-title":"Pediatrics"},{"key":"bib2-20250504","doi-asserted-by":"crossref","first-page":"652","DOI":"10.3109\/08958378.2012.708677","article-title":"Mercury vapor inhalation and poisoning of a 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