RESUMO
El presente artículo relata y comenta las circunstancias de una intoxicación por vapores de mercurio que afectó a cinco miembros de una familia quienes recibieron atención en diferentes instituciones hospitalarias de la ciudad de Santafé de Bogotá en el año de 1993. En marzo de 1999 se localizó a la familia y se hizo una evaluación encontrando que todos los afectados presentan alteraciones psiquiátricas y alteraciones a nivel cognoscitivo probablemente secundarias al daño neurológico irreversible ocacionado por la exposición al tóxico
Assuntos
Humanos , Criança , Adolescente , Adulto , Intoxicação por Mercúrio/diagnóstico , Intoxicação por Mercúrio/etiologia , Intoxicação por Mercúrio/fisiopatologia , Intoxicação por Mercúrio/reabilitaçãoRESUMO
In initial and follow-up investigations of neuropsychological function in a patient with elemental mercury intoxication, his scores were compared with those of a group of normal control subjects matched for sex, age and education. Each subject received a comprehensive neuropsychological examination including a personality inventory. On the initial examination the results indicated that the patient had a significant depression of performance intellectual functioning, impairments of attention, non-verbal short-term memory and visual judgement of angles and directions, psychomotor retardation and personality changes including depression, anxiety, desire to be alone, lack of interest and sensitivity to physical problems. Such an impairment picture is compatible with the previous observations of individuals with chronic exposure to elemental, organic or inorganic mercury. The follow-up study was undertaken about 1.5 years later. The results show that the patient's cognitive and personality functions were fully recovered. Our findings thus suggest a reversibility of impaired neuropsychological function in persons with elemental mercury poisoning if a prompt removal from the toxic environment is accomplished, together with proper medical treatment.
Assuntos
Dano Encefálico Crônico/induzido quimicamente , Intoxicação por Mercúrio/diagnóstico , Mercúrio/efeitos adversos , Testes Neuropsicológicos/estatística & dados numéricos , Doenças Profissionais/induzido quimicamente , Exposição Ocupacional/efeitos adversos , Adulto , Dano Encefálico Crônico/diagnóstico , Dano Encefálico Crônico/psicologia , Dano Encefálico Crônico/reabilitação , Seguimentos , Humanos , Masculino , Mercúrio/farmacocinética , Intoxicação por Mercúrio/psicologia , Intoxicação por Mercúrio/reabilitação , Transtornos Neurocognitivos/diagnóstico , Transtornos Neurocognitivos/psicologia , Transtornos Neurocognitivos/reabilitação , Doenças Profissionais/diagnóstico , Doenças Profissionais/psicologia , Doenças Profissionais/reabilitação , Penicilamina/uso terapêutico , Transtornos da Personalidade/diagnóstico , Transtornos da Personalidade/psicologia , Transtornos da Personalidade/reabilitação , Psicometria , Valores de ReferênciaRESUMO
The cases of acute renal failures due to poisoning treated at the artificial kidney department of the University, Department of Urology in Budapest are received. The patients were readmitted later to check their renal function. Prognosis was best in the group with mercury poisoning where renal function of the survivors was completely restored. Similarly promising are the results in other types of poisoning if the patients can be made to survive the acute period. It is emphasized that if poisoning results in symptoms indicating acute renal failure, the patient must be transferred to an artificial kidney department as soon as possible.
