Self-administration of mercury by subcutaneous injection.
نویسنده
چکیده
An unmarried woman of 21 developed diabetes mellitus in 1957 when aged 12. Her subsequent management was often complicated by diabetic ketoacidosis and coma, eventually traced to failure to administer her insulin correctly. At a number of centres in the London area she received psychiatric treatment, with a diagnosis of inadequate immature personality and psychopathic features. In 1962, at the age of 18, she was referred to the diabetic department of King's College Hospital after further diabetic difficulties and recurrent infections of the urinary tract. Considerable time was given by the medical and psychiatric staff to her case; in 1964 she spent 63 days as an inpatient during 17 separate hospital admissions. On 8 March 1965, while working as a part-time dental receptionist and receiving her insulin by twice-daily visits from a district nurse, she presented at the casualty department of King's College Hospital with a week's history of an abscess in each thigh at the sites of insulin injections. Examination.-Her general condition was satisfactory, temperature 100' F. (37.8° C.), and she was not drowsy, dehydrated, or ketotic. On the anterior aspect of the right mid-thigh was a large (6 by 5 in.; 15 by 12.5 cm.) tender fluctuant abscess with surrounding erythema. A smaller abscess (2 by 1 in.; 5 by 2.5 cm.) was present at a similar site on the left thigh. There was no inguinal lymphadenopathy, and the remaining systems were normal without evidence of diabetic complications. Her weight was 10 st. (63.5 kg.) ; height 5 ft. 4 in. (163 cm.). The diabetes was managed with a 120-g. carbohydrate diet and a twice-daily soluble and isophane insulin regimen (Oakley et al., 1966). The daily insulin requirement was initially 80 units, falling shortly to 60 units, without difficulty of control while under ward supervision.
منابع مشابه
SELF-INDUCED FOREIGN BODY GRANULOMAS DUE TO INJECTION OF ELEMENTAL MERCURY
A 24-year-old girl injected approximately I ml of elemental mercury from a few broken thermometers to her right cubital fossa. It led to the formation of a tumoral lesion which was erythematous, lobulated, painful, with secretory sinuses in the injected area. Biopsy showed foreign body granulomas with metallic mercury that appeared as dark opaque globules. X-rays showed metallic densities i...
متن کاملElemental mercury-induced subcutaneous granuloma. A case report and review of the literature.
The authors report a case of suicidal elemental mercury injection in the antecubital fossa, resulting in granuloma formation, which was treated with delayed resection. A 21-year-old man presented with a granuloma in the antecubital fossa after a suicide attempt by self-injection of elemental mercury. The patient was treated surgically with excision of the necrotic skin and granuloma under X-ray...
متن کاملChemical disbudding of goat kids with subcutaneous administration of synthetic eugenol: Histopathology and morphometry
This study was conducted to evaluate the effect of subcutaneous administration of synthetic eugenol (EG) for disbudding of goat kids, as a new chemical method. Thirty apparently healthy Raieni (Cashmere) goat kids (five-day-old) were divided randomly into six groups (n = 5). In the pathology (P) groups (P3, P8 and P60 according to the sample collection day after...
متن کاملSoft tissue resection after auto-aggressive subcutaneous and intramuscular metallic mercury injection: A case report
متن کامل
Does Subcutaneous Administration of Granulocyte Colony Stimulating Factor Improve Pregnancy Outcome in Patients Undergoing Intracytoplasmic Sperm Injection?
Background:Expression of granulocyte colony stimulating factor (G-CSF) and its receptors in embryo and endometrium implicates the involvement of this glycoprotein on implantation process. In the present study, we aimed to evaluate the impact of routine use of subcutaneous administration of G-CSF on pregnancy outcomes in intracytoplasmic sperm injection (ICSI) patients. <strong...
متن کاملThe role of acetylcholine muscarinic receptors in the rat basolateral amygdala on morphine-induced place preference
Some studies have shown that acetylcholine muscarinic receptors involved in the opiate reward. In the present study, the effect of intra-basolateral amygdale (BLA) acetylcholine muscarinic like receptor agonist (physostigmine) and antagonist (atropine) on the acquisition of morphine-induced place preference has been investigated in male Wistar rats. For this purpose, two 22 gauges guide cannula...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- British medical journal
دوره 1 5536 شماره
صفحات -
تاریخ انتشار 1967