Case Studies

1. Elemental Mercury Poisoning in a Family of Seven
Debra Cherry, MD, Larry Lowry, PhD; Larissa Velez, MD, Cindy Cotrell, RN; and D. Christopher Keys, MD
The Southwest Center for Pediatric Environmental Health, Tyler, TX
Published in Community Health 24:1-8, 2002.

This case study describes how the poison center, health department, physicians and others worked together to diagnose and treat a family with long-term exposure to elemental mercury vapor in the home. Abstract.

2. Exposure to Benzene-Contaminated Well Water
The Southwest Center for Pediatric Environmental Health, Tyler, TX

This case study, involving a family using well water contaminated with benzene and other pollutants, was developed by the SWCPEH. It is based on an actual call from a concerned parent and follow-up visits at the clinic.

3. Case Study in Environmental Medicine: Lead Toxicity
Agency for Toxic Substances and Disease Registry (ATSDR)

This case study discusses the major exposure routes for lead, sources of lead exposure, reasons for why lead is a health hazards, factors contributing to lead toxicity, and evaluation and treatment protocols for lead toxicity. See ATSDR's Environmental Medicine Case Study website for case studies on other topics (including environmental triggers of asthma and disease clusters) and substances (including arsenic, asbestos, PCBs, and others).

4. Mercury Poisoning Associated with Beauty Cream
Published in Morbidity and Mortality Weekly Report 45(19):400-403, 2003.

This case study summarizes three cases of mercury poisoning among persons who had used a beauty cream produced in Mexico. The investigation was conducted by the Texas Department of Health, New Mexico Department of Health, and San Diego County Health Department Abstract.

5. Ozone and Your Patient's Health
EPA has a short, evidence-based training course for family practice doctors, pediatricians, and other primary care providers

At soccer practice a 12-year-old girl experienced chest tightness and shortness of breath, and she woke up during the night wheezing. The previous day was a Code Red air quality day for ozone. The mother asks, "Do you think ozone caused her wheezing? Should I make her skip practice on Code Red ozone days?"