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Blood lead level elevation as a result of a retained bullet.

Sarsu SB, Buyukbese MA - APSP J Case Rep (2015)

View Article: PubMed Central - PubMed

Affiliation: Gaziantep Children's Hospital, 27060, Gaziantep, Turkey.

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Increased level of lead after gunshot injury is very rare.[1] Higher serum levels frequently develop after the ingestion of dye containing lead, dust and soil... A 6.5-year old girl was brought to the emergency room with a gunshot injury... Bullet entry hole was under the right scapula, but no exit wound was found... Before discharge on the 4th day of the gunshot injury, serum lead level was 1.9µgr/dl... Monthly follow-up was done via radiological evaluation and serum lead levels... At 4 months follow-up, the patient developed mild apathy and irritability... Her serum lead level was found to be 18.0µgr/dl, so a decision for surgical intervention was taken... Blood lead levels returned to normal on follow-up with improvement of apathy... Systemic symptoms such as abdominal pain, vomiting, headache, joint pain, loss of appetite, increased blood pressure and irritability may all be associated with increased lead levels.[2] In our case non-specific mild irritability and apathy were observed... Bullet fragmentations may contribute to lead absorption.[3] Correlation of bullet location and lead toxicity is also described... In all such children with retained bullet, a careful follow-up with monthly lead levels should be mandatory to pick the cases up before lead toxicity establishes... Gradual elevation of blood lead levels necessitate operative removal of the retained bullet... Nil None declared

No MeSH data available.


Figure 1:CT scan showing bullet in the pelvis near the right side of the urinary bladder.
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Figure 1: Figure 1:CT scan showing bullet in the pelvis near the right side of the urinary bladder.


Blood lead level elevation as a result of a retained bullet.

Sarsu SB, Buyukbese MA - APSP J Case Rep (2015)

Figure 1:CT scan showing bullet in the pelvis near the right side of the urinary bladder.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4288832&req=5

Figure 1: Figure 1:CT scan showing bullet in the pelvis near the right side of the urinary bladder.

View Article: PubMed Central - PubMed

Affiliation: Gaziantep Children's Hospital, 27060, Gaziantep, Turkey.

AUTOMATICALLY GENERATED EXCERPT
Please rate it.

Increased level of lead after gunshot injury is very rare.[1] Higher serum levels frequently develop after the ingestion of dye containing lead, dust and soil... A 6.5-year old girl was brought to the emergency room with a gunshot injury... Bullet entry hole was under the right scapula, but no exit wound was found... Before discharge on the 4th day of the gunshot injury, serum lead level was 1.9µgr/dl... Monthly follow-up was done via radiological evaluation and serum lead levels... At 4 months follow-up, the patient developed mild apathy and irritability... Her serum lead level was found to be 18.0µgr/dl, so a decision for surgical intervention was taken... Blood lead levels returned to normal on follow-up with improvement of apathy... Systemic symptoms such as abdominal pain, vomiting, headache, joint pain, loss of appetite, increased blood pressure and irritability may all be associated with increased lead levels.[2] In our case non-specific mild irritability and apathy were observed... Bullet fragmentations may contribute to lead absorption.[3] Correlation of bullet location and lead toxicity is also described... In all such children with retained bullet, a careful follow-up with monthly lead levels should be mandatory to pick the cases up before lead toxicity establishes... Gradual elevation of blood lead levels necessitate operative removal of the retained bullet... Nil None declared

No MeSH data available.