"Heavy Metal": Management of lead toxicity following a gunshot injury with retained lead fragments, a case report
- PMID: 38021473
- PMCID: PMC10665592
- DOI: 10.1016/j.toxrep.2023.11.004
"Heavy Metal": Management of lead toxicity following a gunshot injury with retained lead fragments, a case report
Abstract
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.
Keywords: Chelation therapy; Lead poisoning; Poison control centers; Poisons; Toxicology.
© 2023 The Authors.
Conflict of interest statement
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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References
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- Ricci G., Mantelli G., Morando E., Bacchion M., Costantini I. Handbook di tossicologia in emergenza urgenza. Edizioni Med. - Sci. 2023
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