 
			ஐ.எஸ்.எஸ்.என்: 2161-0495
Tiffany Byerly
Introduction: Mercury is a toxic trace metal that causes acute respiratory failure when vaporized and inhaled. We
  report the presentation and management of a two-year-old female with hypoxemic respiratory failure secondary to
  elemental mercury inhalation. 
  Case report: A 2-year-old female presented to our facility with acute respiratory distress. She developed hypoxemic
  respiratory failure requiring venoarterial extracorporeal membrane oxygenation. She was found to have high serum
  mercury levels and was managed with dimercapto succinic acid chelation therapy and high-dose corticosteroids. The
  patient survived and subsequently recovered.
  Discussion: This is the first pediatric case of fulminant pneumonitis caused by elemental mercury inhalation
  managed with venoarterial extracorporeal membrane oxygenation reported in the medical literature.