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A neck and chest computed tomography (CT) scan on September 1, 2021, identified a 22.8 26.8 32.7 mm neck mass and multiple bilateral pulmonary metastases ( Figures 1A, F )

Signs of selenium toxicity include: hair loss dizziness nausea vomiting facial flushing tremors muscle soreness In severe cases, acute selenium toxicity can lead to serious intestinal and neurological symptoms, heart attack, kidney failure, and death (37)