Subcutaneous Injection of Metallic Mercury Mimicking Bacterial Cellulites: A Case Report

Abstract

Problem statement: Injection of metallic mercury in the forms of subcutaneous or intravenous has been hitherto reported in less than a hundred cases. Approach: We reported a 19 year old male with history of major depression who subcutaneously injected metallic mercury into his right forearm with suicidal intention. Results: A week later, a mild elevation of creatinine level was noted. Subsequently, mercury deposits were totally removed with all affected tissues and fascia of the right forearm. Later, the creatinine level decreased to the normal range. Conclusion: The present case is an example of suicidal attempt that presented with subcutaneous injection of elemental mercury mimicking bacterial cellulitis. Physicians should consider heavy metal injections when evaluating a patient with history of psychiatric disorders presented with bacterial cellulitis.