Document Detail


Lead toxicity in a 14-year-old female with retained bullet fragments.
MedLine Citation:
PMID:  16396885     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In the past 3 decades, lead levels in North American children have been declining. Despite the decline in lead exposure, lead toxicity remains a significant childhood environmental health hazard. The usual route of lead exposure is through ingestion, but lead toxicity secondary to retained bullet fragments has been well documented in the adult literature. The diagnosis of lead toxicity is often difficult and delayed secondary to vague and transient symptoms. Recognizing high-risk characteristics of bullet fragments can improve clinician awareness to the possibility of lead toxicity. The primary management of patients with continued lead exposure is to remove the source of exposure. However, in the case of retained bullet fragments, initiation of chelation therapy before surgical removal may be essential in preventing systemic toxicity. We present the case of a 14-year-old female with lead toxicity who presented with an 18-month course of chronic abdominal pain, vomiting, and anorexia 2 years after sustaining a gunshot wound to the right leg. The patient was treated with oral succimer and operative removal of bullet fragments.
Authors:
Troy Coon; Michael Miller; Farshad Shirazi; John Sullivan
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Pediatrics     Volume:  117     ISSN:  1098-4275     ISO Abbreviation:  Pediatrics     Publication Date:  2006 Jan 
Date Detail:
Created Date:  2006-01-06     Completed Date:  2006-02-07     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0376422     Medline TA:  Pediatrics     Country:  United States    
Other Details:
Languages:  eng     Pagination:  227-30     Citation Subset:  AIM; IM    
Affiliation:
Darnall Army Community Hospital, Fort Hood, TX 76544, USA. tcoon1@hotmail.com
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Female
Foreign Bodies / complications*,  radiography
Humans
Knee Injuries / radiography
Lead Poisoning / etiology*
Wounds, Gunshot / complications*

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