European Journal of Case Reports in Internal Medicine


The European Journal of Case Reports in Internal Medicine is an official journal of the European Federation of Internal Medicine (EFIM). The journal wants to promote the practice of internal medicine in Europe. Its aim is to provide a forum to internal medicine doctors.
EJCRIM welcomes papers describing unusual or complex cases and case series that an internist may encounter in everyday practice. Case series are also welcomed as long as they demonstrate the appropiateness of a therapeutical approach or unusual manifestation of a disease.
The journal would also consider brief reasoned reports of issues relevant to the practice of Internal Medicine, as well as Abstracts submitted to scientific meetings of European societies of Internal Medicine.

EJCRIM is peer-reviewed with single-blind review and freely accessible to all.

Kenta Hamada, Tomofumi Akasaka, Yasushi Yamasaki, Ryu Ishihara
Marlene Louro, Teresa Vaio, Jorge Crespo, Rui Santos, Armando Carvalho
Massimo Montalto, Michele Impagnatiello, Maria Anna Nicolazzi, Maria Teresa Congedo, Raffaele Landolfi
Abire Allaoui, Wassila Bouissar, Khadija Echchilali, Mina Moudatir, Fatim Zahra Alaoui, Hassan Elkabli
Fredrik Andreas von Wowern, Marco Brizzi, Jan Holst
Kenta Hamada, Ryu Ishihara, Yasushi Yamasaki
Sanna Fatima, Yaser Alhamshari, Moiz Salahuddin
Michael Edwards, Arun Jeenahalli Ramappa

Chronic Mercury Intoxication Masquerading as Systemic Disease: A Case Report and Review of the Literature

Alexandre Malek, Krystel Aouad, Rana El Khoury, Maya Halabi-Tawil, Jacques Choucair
Published: 24/05/2017


Background: Mercury is a highly toxic environmental metal that exists in three different forms: elemental, inorganic and organic. Intoxication occurs in either occupational or non-occupational settings, mainly after the inhalation of vapour and fumes in work places, laboratories or homes. Chronic mercury toxicity ranges from mild and insignificant to severe and life-threatening. We describe the case of a young male patient who presented with multiple organ dysfunction after chronic mercury exposure.
Case presentation: We report the case of 28-year-old male artisanal gold miner who was admitted to hospital for severe neurological impairment associated with inflammatory bowel disease-like symptoms and a skin rash after mercury exposure. Symptomatic treatment and corticosteroid administration assured rapid clinical improvement. Chronic mercury poisoning can masquerade as an autoimmune or systemic inflammatory disease.
Conclusion: Physicians should be aware that low exposure to mercury, even from artisanal gold mining, may be harmful to health. Management can be simple without the need for aggressive or invasive therapeutic measures. Larger case series are required in order to establish a clear management plan.