Korean J Crit Care Med.  2010 Sep;25(3):182-185. 10.4266/kjccm.2010.25.3.182.

Acute Mercury Vapor Inhalation Toxicity after Burning Charms: A Case Report

Affiliations
  • 1Department of Internal Medicine, Gangneung Asan Hospital, University of Ulsan College of Medicine, Gangneung, Korea. jmlim@gnah.co.kr
  • 2Department of Emergency Medicine, Gangneung Asan Hospital, University of Ulsan College of Medicine, Gangneung, Korea.

Abstract

Cinnabar is the mineral with mercury in combination with sulfur, and it has been used to make charms in China and Korea. If cinnabar is overheated, mercury vapor that is extremely hazardous or sometimes fatal can be released. We experienced 5 patients of a family who were exposed to mercury vapor when they burnt charms. One of them developed severe acute respiratory failure and the patient needed mechanical ventilation and extracorporeal membrane oxygenation (ECMO). Despite treatment with cortiocosteroid, D-penicillamine, ECMO and plasmapheresis, the radiologic findings of a patient worsened and he died.

Keyword

charm; cinnabar; mercury; mercury vapor

MeSH Terms

Burns
China
Extracorporeal Membrane Oxygenation
Humans
Inhalation
Korea
Mercury Compounds
Penicillamine
Plasmapheresis
Respiration, Artificial
Respiratory Insufficiency
Sulfur
Mercury Compounds
Penicillamine
Sulfur
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