"Heavy Metal": Management of lead toxicity following a gunshot injury with retained lead fragments, a case report.

Chelation therapy Lead poisoning Poison control centers Poisons Toxicology

Journal

Toxicology reports
ISSN: 2214-7500
Titre abrégé: Toxicol Rep
Pays: Ireland
ID NLM: 101630272

Informations de publication

Date de publication:
Dec 2023
Historique:
received: 21 09 2023
revised: 30 10 2023
accepted: 07 11 2023
medline: 29 11 2023
pubmed: 29 11 2023
entrez: 29 11 2023
Statut: epublish

Résumé

There is limited literature on managing chronic lead exposure from non-removable sources such as lead fragments. In this case report, we present the complexities and clinical considerations involved in treating an elderly patient who sustained a comminuted knee fracture due to a gunshot wound, complicated by retained lead fragments. This case highlights the absence of comprehensive guidelines for managing chronic lead exposure when complete fragment removal is impractical. It also emphasizes the importance of a multidisciplinary approach to decision-making, while considering patient autonomy in such unique clinical scenarios.

Identifiants

pubmed: 38021473
doi: 10.1016/j.toxrep.2023.11.004
pii: S2214-7500(23)00131-2
pmc: PMC10665592
doi:

Types de publication

Case Reports

Langues

eng

Pagination

444-448

Informations de copyright

© 2023 The Authors.

Déclaration de conflit d'intérêts

The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.

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Auteurs

Ilaria Costantini (I)

USD Poison Control Center, Azienda Ospedaliera Universitaria integrata, Verona, Italy.

Massimo Carollo (M)

Department of Diagnostics and Public Health, University of Verona, Verona, Italy.

Lorenzo Losso (L)

Department of Medical Toxicology Unit and Poison Control Centre, University of Florence, Florence, Italy.

Elia Morando (E)

USD Poison Control Center, Azienda Ospedaliera Universitaria integrata, Verona, Italy.

Matilde Bacchion (M)

USD Poison Control Center, Azienda Ospedaliera Universitaria integrata, Verona, Italy.

Giovanni Mantelli (G)

USD Poison Control Center, Azienda Ospedaliera Universitaria integrata, Verona, Italy.

Mauro Pizzuto (M)

Department of Medicine, University of Verona, Verona, Italy.

Letizia Spagnuolo (L)

Department of Medicine, University of Verona, Verona, Italy.

Maria Vittoria Ventura (MV)

Department of Medicine, University of Verona, Verona, Italy.

Giorgio Ricci (G)

USD Poison Control Center, Azienda Ospedaliera Universitaria integrata, Verona, Italy.

Classifications MeSH