Mercury intoxication presenting with hypertension and tachycardia
Willi Wö
mann, Martina Kohl, Gunnar Grüning, Peter Bucsky
Department of
Paediatrics, Medical University of Luebeck, 23538 Luebeck, Germany
Correspondence to: Dr Willi Wömann, Department of Paediatrics,
Justus-Liebig-University, Feulgenstrasse 12, 35392 Giessen, Germany.
Accepted 19 January
1999
An 11 year old girl presented with hypertension and
tachycardia. Excess urinary catecholamine excretion suggested
phaeochromocytoma but imaging studies failed to demonstrate a tumour.
Other symptoms included insomnia and weight loss, and she was found to
have a raised concentration of mercury in blood and urine. Mercury
intoxication should be considered in the differential diagnosis of
hypertension with tachycardia even in patients presenting without the
skin lesions typical of mercury intoxication and without a history of exposure.
Keywords: hypertension; tachycardia; mercury poisoning; phaeochromocytoma
© 1999 by Archives of Disease in Childhood
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