Citation

James J, Fitzgibbon J, Blackford M. Pediatr. Emerg. Care 2015; 32(9): 616-618.

Affiliation

From the *Pediatric Residency Program and †Adolescent Medicine, Akron Children's Hospital, Akron; ‡Department of Pediatrics, Northeast Ohio Medical University, Rootstown; and §Divisions of Clinical Pharmacology and Toxicology and the Rebecca D. Considine Research Institute, Akron Children's Hospital, Akron, OH.

Copyright

(Copyright © 2015, Lippincott Williams and Wilkins)

DOI

10.1097/PEC.0000000000000572

PMID

26466146

Abstract

Assessing victims of gunshot wounds with retained bullets/bullet fragments for lead toxicity is not always considered until the patient develops signs and symptoms of toxicity. We discuss the case of a 19-year-old young man who received a diagnosis of chronic lead toxicity (serum lead concentration 51 μg/dL) 5 weeks after a hunting accident. Extensive wound debridement occurred following the accident; however, lead toxicity was not diagnosed until after his fourth emergency department visit. Oral chelation therapy was required for the management of his lead toxicity.

Language: en