Case Report

Multimodal Elimination for Intoxication with a Lethal Dose of Organic Mercury

Table 1

Levels of drugs or compounds tested in different compartments. Abnormal values are highlighted with bold letters.

Toxicology

Compound or drugSpecimenPatient levelNormal value

Initial measurements
 Amphetamine & derivatesurinenot detectable
 Barbituratesurinenot detectable
 Benzodiazepinesurinenot detectable
 Buprenorphineurinenot detectable
 Cocaine metabolitesurinenot detectable
 Morphine & Derivatesurinenot detectable
 Phenothiazineurinenot detectable
 Tetrahydrocannabinol derivatesurinenot detectable
 CadmiumEDTA whole blood< 0.2 μg/l< 1.0 μg/l
 Copperserum15.6 μmol/l11.0 - 22.0 μmol/l
 LeadEDTA whole blood12 μg/l< 120 μg/l
 Zincserum92 μg/dl70 - 150 μg/dl
 MercuryEDTA whole blood4255 g/l< 2.0 μg/l
 Arsineurine1.4 μg/l< 25.0 μg/l
 Pentachlorophenolurine< 0.30 μg/l< 5.0 μg/l
 ThalliumEDTA whole blood< 0.2 μg/l< 0.6 μg/l
 Thalliumurine< 0.2 μg/l< 0.7 μg/l

Compartment measurements
 MercuryEDTA whole blood2929 g/l< 2.0 μg/l
 Methyl mercuryEDTA whole blood1538.0 g/l< 1.0 μg/l
 Mercuryserum899 g/l< 2.0 μg/l
 Mercuryurine360 g/l< 1.0 μg/l
 Mercuryhair713 g/g< 2.0 μg/g

after start of treatment with DMPS.