Year 2023 / Volume 115 / Number 4
Letter
Lead ingestion, medical emergency and action plan

208-209

DOI: 10.17235/reed.2022.9048/2022

María Teresa García Castellanos, Ruth García Romero, Paolo Bragagnini Rodríguez,

Abstract
Ingestion of lead material represents a therapeutic challenge involving high toxicity, significant clinical impact, and controversy regarding management. We report the case of a 2-year-old girl, who accidentally ingested a fishing sinker. She remained asymptomatic and first level tests were performed (blood lead levels and x-ray to locate object). Because of sinker location in the jejunum, two rectal enemas and polyethylene glycol (PEG) were administered, serial blood lead level measurements were performed. Because of sinker persistence, a colonoscopy was undertaken. She did not require chelation treatment. However, she required follow-up to monitor long-term toxicity and sequels.
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References
1. Uptodate. Jennifer A Sample. Childhood lead poisoning: [sede Web]. 2018. Uptodate Waltham, Massachusetts. http://www.uptodate.com/
2. Council on environmental health, Lanphear BP, Lowry JA, Ahdoot S, Baum CR, Bernstein AS, et al. Prevention of Childhood Lead Toxicity. Pediatrics. 2016; 138(1): e20161493.
3. W. Scott St. Clair, John Benjamin. Lead Intoxication from Ingestion of Fishing Sinkers: A Case Study and Review of the Literature. Clinical Pediatrics. 2008; 47 (1): 66-70
4. Esteban López S, Díez Saez C, Landa Gorriz M. En Mintegi Raso S. Manual de intoxicaciones en Pediatría. Majadahonda: Ergon; 2012. 289-300.
5. Centers for Disease Control and Prevention. Recommended actions base on blood lead level: Summary of recommendations for follow-up and case management of children base on initial screening capillary and confirmed venous blood lead levels. Available at: https://www.cdc.gov/nceh/lead/advisory/acclpp/actions-blls.htm
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García Castellanos M, García Romero R, Bragagnini Rodríguez P. Lead ingestion, medical emergency and action plan. 9048/2022


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Publication history

Received: 30/06/2022

Accepted: 29/08/2022

Online First: 23/09/2022

Published: 03/04/2023

Article revision time: 45 days

Article Online First time: 85 days

Article editing time: 277 days


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