Intoxicación oral accidental por mercurocromo

Ayala Curiel, J.; Nieto Conde, C.; Santana Rodríguez, C.; Urbón Artero, A.; Gracia Remiro, R.

doi:10.1016/S1695-4033(00)78632-2

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Mortensen" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "J Clin Exp Neuropsycol" "fecha" => "1994" "volumen" => "16" "paginaInicial" => "209" "paginaFinal" => "222" ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib0025" "etiqueta" => "5" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Arterial hypertension due to mercury poisoning: diagnostic value of captopril" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "S. Cloarec" 1 => "G. Deschenes" 2 => "M. Sagnier" 3 => "J.C. Rolland" 4 => "H. Nivet" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Arch Pediatr" "fecha" => "1995" "volumen" => "2" "paginaInicial" => "43" "paginaFinal" => "46" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7735425" "web" => "Medline" ] ] ] ] ] ] ] ] 5 => array:3 [ "identificador" => "bib0030" "etiqueta" => "6" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Immune thrombocytopenia and elemental mercury poisoning" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "L.J. Fuortes" 1 => "D.N. Weismann" 2 => "M.L. Graeff" 3 => "J.F. Bale Jr." 4 => "R. Tannous" 5 => "C. Peters" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "J Toxicol Clin Toxicol" "fecha" => "1995" "volumen" => "33" "paginaInicial" => "449" "paginaFinal" => "455" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7650769" "web" => "Medline" ] ] ] ] ] ] ] ] 6 => array:3 [ "identificador" => "bib0035" "etiqueta" => "7" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Methylmercury poisoning: long-term clinical, radiological, toxicological and pathological studies of an affected family" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "L.E. Davis" 1 => "M. Kornfeld" 2 => "H.S. Mooney" 3 => "K.J. Fiedler" 4 => "K.Y. Haaland" 5 => "W.W. Orrison" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1002/ana.410350608" "Revista" => array:6 [ "tituloSerie" => "Ann Neurol" "fecha" => "1994" "volumen" => "35" "paginaInicial" => "680" "paginaFinal" => "688" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8210224" "web" => "Medline" ] ] ] ] ] ] ] ] 7 => array:3 [ "identificador" => "bib0040" "etiqueta" => "8" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Prenatal methylmercury exposure and children: neurologic, developmental and behavioral research" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "G.J. Myers" 1 => "P.W. Davidson" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:7 [ "tituloSerie" => "Environ Health Perspect" "fecha" => "1998" "volumen" => "106" "numero" => "Supl 3" "paginaInicial" => "841" "paginaFinal" => "847" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9831545" "web" => "Medline" ] ] ] ] ] ] ] ] 8 => array:3 [ "identificador" => "bib0045" "etiqueta" => "9" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Mercurochrome allergy. Immediate and delayed hypersensitivity" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "P.A. Galindo" 1 => "F. Feo" 2 => "R. García" 3 => "E. Gómez" 4 => "J. Borja" 5 => "F. Fernández" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Allergy" "fecha" => "1997" "volumen" => "52" "paginaInicial" => "1138" "paginaFinal" => "1141" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/14739775" "web" => "Medline" ] ] ] ] ] ] ] ] 9 => array:3 [ "identificador" => "bib0050" "etiqueta" => "10" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Iatrogenic neonatal mercury poisoning from Mercurochrome treatment of a large omphalocele" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "M.E. Mullins" 1 => "B.Z. Horowitz" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Clin Pediatr (Phila)" "fecha" => "1999" "volumen" => "38" "paginaInicial" => "111" "paginaFinal" => "112" ] ] ] ] ] ] 10 => array:3 [ "identificador" => "bib0055" "etiqueta" => "11" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Mercury poisoning from application to omphalocele" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "E.G. Stanley-Brown" 1 => "J.E. Frank" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "JAMA" "fecha" => "1971" "volumen" => "216" "paginaInicial" => "2144" "paginaFinal" => "2145" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/5108686" "web" => "Medline" ] ] ] ] ] ] ] ] 11 => array:3 [ "identificador" => "bib0060" "etiqueta" => "12" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Mercury poisoning from mercurochrome therapy of an infected omphalocele" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "T.F. Yeh" 1 => "R.S. Pildes" 2 => "H.V. Firor" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.3109/15563657808988251" "Revista" => array:6 [ "tituloSerie" => "Clin Toxicol" "fecha" => "1978" "volumen" => "13" "paginaInicial" => "463" "paginaFinal" => "467" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/85509" "web" => "Medline" ] ] ] ] ] ] ] ] 12 => array:3 [ "identificador" => "bib0065" "etiqueta" => "13" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "A case of merbromin (Mercurochrome) intoxication possibly resulting in aplastic anemia" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "P.H. Slee" 1 => "G.J. den Ottolander" 2 => "F.A. de Wolff" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Acta Med Scand" "fecha" => "1979" "volumen" => "205" "paginaInicial" => "463" "paginaFinal" => "466" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/88168" "web" => "Medline" ] ] ] ] ] ] ] ] 13 => array:3 [ "identificador" => "bib0070" "etiqueta" => "14" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Absorption of mercurochrome" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "J.A. Magarey" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Lancet" "fecha" => "1993" "volumen" => "342" "paginaInicial" => "1424" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7901706" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "es" "url" => "/16954033/0000005300000005/v1_201307051525/S1695403300786322/v1_201307051525/es/main.assets" "Apartado" => array:4 [ "identificador" => "14234" "tipo" => "SECCION" "es" => array:2 [ "titulo" => "Medicina fetal y neonatología" "idiomaDefecto" => true ] "idiomaDefecto" => "es" ] "PDF" => "https://static.elsevier.es/multimedia/16954033/0000005300000005/v1_201307051525/S1695403300786322/v1_201307051525/es/main.pdf?idApp=UINPBA00005H&text.app=https://analesdepediatria.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1695403300786322?idApp=UINPBA00005H"]

Anales de Pediatría

ISSN: 1695-4033

La Asociación Española de Pediatría tiene como uno de sus objetivos principales la difusión de información científica rigurosa y actualizada sobre las distintas áreas de la pediatría. Anales de Pediatría es una revista de acceso abierto que actúa como el Órgano de Expresión Científica de la Asociación y constituye el vehículo a través del cual se comunican los asociados. Anales de Pediatría publica, en inglés y en español, trabajos originales sobre investigación en pediatría, así como artículos de revisión elaborados por los profesionales expertos de cada especialidad, y guías o documentos de posicionamiento elaborados por las diferentes Sociedades/Secciones Especializadas integradas en la Asociación Española de Pediatría. La revista, referente de la pediatría de habla española, está indexada en las más importantes bases de datos internacionales: Index Medicus/Medline IBECS, IME, SCOPUS, Science Citation Index Expanded, Journal Citations Report, Embase/Excerpta Medica, Directory of Open Access Journals (DOAJ).

In Memoriam: Alfredo García-Alix (1956-2024)

Indexada en:

Index Medicus/Medline IBECS, IME, SCOPUS, Science Citation Index Expanded, Journal Citations Report, Embase/Excerpta Medica, Directory of Open Access Journals (DOAJ)

Se describe el caso de un recién nacido de 10 días de vida al que se le administró mercurocromo por vía oral durante 7 días, debido a un mal entendimiento de las indicaciones médicas. Los síntomas iniciales incluyeron pérdida de apetito y escasa ganancia ponderal. Se encontraron valores de mercurio elevados en sangre.

Se inició terapia quelante con dimercaprol y la evolución del paciente fue buena.

Se comenta la toxicidad potencial provocada por el mercurio. Se desea poner énfasis en la importancia de la transmisión de la información por parte de los médicos, sobre todo a la población inmigrante.

Palabras clave:

Mercurocromo

Recién nacido

Intoxicación por mercurio

Abstract

Neonatal mercury poisoning, especially that due to merbromin ingestion, is uncommon.

We describe the case of a 10-day-old new-born infant who was given mercurochrome orally for 7 days due to misunderstanding of medical instructions. Initial symptoms included loss of appetite and low weight increase. Elevated blood mercury concentrations were found. Chelating therapy with dimercaprol was initiated and the patient's evolution was good. We discuss the potential toxicity of mercury and emphasise the importance of the transmission of information by physicians, especially to the immigrant population.

Key words:

Mercurochrome

Newborn

Mercury poisoning

El Texto completo está disponible en PDF

Bibliografía

[1]

J.K. Luk, V.T. Yeung, T.Y. Chan.

Elevated blood mercury following the ingestion of mercurochrome.

J Toxicol Clin Toxicol, 35 (1997), pp. 657-658

Medline

[2]

N. Langford, R. Ferner.

Toxicity of mercury.

J Hum Hypertens, 13 (1999), pp. 651-656

Medline

[3]

G.H. Lambert.

Exposición e intoxicación por mercurio.

Nelson. Tratado de pediatría, 15.ª ed, pp. 2498-2503

[4]

K.O. Yeates, M.E. Mortensen.

Acute and chronic neuropsychological consequences of mercury vapor poisoning in two early adolescents.

J Clin Exp Neuropsycol, 16 (1994), pp. 209-222

[5]

S. Cloarec, G. Deschenes, M. Sagnier, J.C. Rolland, H. Nivet.

Arterial hypertension due to mercury poisoning: diagnostic value of captopril.

Arch Pediatr, 2 (1995), pp. 43-46

Medline

[6]

L.J. Fuortes, D.N. Weismann, M.L. Graeff, J.F. Bale Jr., R. Tannous, C. Peters.

Immune thrombocytopenia and elemental mercury poisoning.

J Toxicol Clin Toxicol, 33 (1995), pp. 449-455

Medline

[7]

L.E. Davis, M. Kornfeld, H.S. Mooney, K.J. Fiedler, K.Y. Haaland, W.W. Orrison, et al.

Methylmercury poisoning: long-term clinical, radiological, toxicological and pathological studies of an affected family.

Ann Neurol, 35 (1994), pp. 680-688

http://dx.doi.org/10.1002/ana.410350608 | Medline

[8]

G.J. Myers, P.W. Davidson.

Prenatal methylmercury exposure and children: neurologic, developmental and behavioral research.

Environ Health Perspect, 106 (1998), pp. 841-847

Medline

[9]

P.A. Galindo, F. Feo, R. García, E. Gómez, J. Borja, F. Fernández.

Mercurochrome allergy. Immediate and delayed hypersensitivity.

Allergy, 52 (1997), pp. 1138-1141

Medline

[10]

M.E. Mullins, B.Z. Horowitz.

Iatrogenic neonatal mercury poisoning from Mercurochrome treatment of a large omphalocele.

Clin Pediatr (Phila), 38 (1999), pp. 111-112

[11]

E.G. Stanley-Brown, J.E. Frank.

Mercury poisoning from application to omphalocele.

JAMA, 216 (1971), pp. 2144-2145

Medline

[12]

T.F. Yeh, R.S. Pildes, H.V. Firor.

Mercury poisoning from mercurochrome therapy of an infected omphalocele.

Clin Toxicol, 13 (1978), pp. 463-467

http://dx.doi.org/10.3109/15563657808988251 | Medline

[13]

P.H. Slee, G.J. den Ottolander, F.A. de Wolff.

A case of merbromin (Mercurochrome) intoxication possibly resulting in aplastic anemia.

Acta Med Scand, 205 (1979), pp. 463-466

Medline

[14]

J.A. Magarey.

Absorption of mercurochrome.

Lancet, 342 (1993), pp. 1424

Medline

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