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[A peculiar lead poisoning: a concern of team achievement].

Abstract
We describe a case of lead poisoning in a worker after hand and forearm trauma with fracture of radius and multiple fractures of metacarpal bones and hand phalanges and tissue infiltration of lead oxide (PbO) paste. Orthopedic surgery was immediately performed. After 20 days the patient had abdominal colic pain episodes and severe stipsis and blood lead level (BLL) was 60 mcg/mL with urinary lead level (ULL) of 238 mcg/24 h. After mobilization test with calcium disodium edetate were observed a high increase of BLL (180 mcg/dL) and UBL (17,000 mcg/24h). An initial anemia was observed and became severe (Hb 7.6 g/dL). A NMR exam and echography showed forearm subcutaneous lead paste infiltration and the patient underwent to a second surgical debridement with local low temperature (5 degrees C) irrigation of saline and CaNa2EDTA made the removal of the hardened lead paste. The day after, oral succimer (DMSA) chelation treatment was started with recovery of lead poison.
AuthorsP Leghissa, G Bacis, A Brucato, M L Farina, G Pajardi, C Parolo, G Mosconi
JournalGiornale italiano di medicina del lavoro ed ergonomia (G Ital Med Lav Ergon) 2012 Jul-Sep Vol. 34 Issue 3 Suppl Pg. 662-4 ISSN: 1592-7830 [Print] Italy
Vernacular TitleUn caso di intossicazione anomala da piombo: l'importanza di un'intervento multidisciplinare.
PMID23405745 (Publication Type: Case Reports, English Abstract, Journal Article)
Topics
  • Adult
  • Humans
  • Lead Poisoning (etiology, therapy)
  • Male
  • Occupational Diseases (chemically induced, therapy)

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