A 15-year-old boy presents with a high fever, an intermittent non-productive cough, and dyspnea for one day, along with a generalized itchy rash for two days. On close questioning, he reveals that he has been performing chemistry experiments for the last several days, on a sample of mercury he obtained from a broken thermometer. He lives with his parents and younger brother, all of whom are currently in good health. His medical history is unremarkable with no history of allergies.
WBC: 4,900/mm3 (4,500-12,000) Hb: 13.1 g/dL (13-16) Plt: 198,000/mm3 (150,000-400,000)
Blood urea: 75 mg/dL (10-50) Serum creatinine: 1.6 mg/dL (0.4-1.5)
Serum mercury: 79 μg/L (0.6-10)
The chest X-ray shows bilateral non-homogenous basal opacities, with a few nonspecific nodular lesions.