medigraphic.com
ISSN 0035-0052 (Print)

2017, Number 5

<< Back Next >>

Rev Mex Pediatr 2017; 84 (5)

Firearm injuries and lead intoxication in pediatrics. Presentation of three clinical cases

Saravi A, Torolla JL, Villafañe S, González DE, Martínez MM, Fernández MC

Language: Spanish
References: 10
Page: 196-200
PDF size: 277.71 Kb.


ABSTRACT

Lead is a pollutant widely distributed in the environment. People can be exposed to it in their surroundings or in their jobs, primarily through inhalation from combustion materials containing lead particles, and also by ingestion of contaminated dust, food or water. There are other rare sources of intoxication which are scarcely reported in the literature, such as poisoning from firearm injuries with lead bullets. We report three pediatric patients who suffered exposure to this heavy metal by gunshot wounds. We mention the importance of evaluation and monitoring in the acute phase and in the long-term of these patients to assess the need for treatment, and preventing morbidity and mortality caused by this entity, emphasizing the difference between acute and chronic lead poisoning.


REFERENCES

  1. Lanphear BP, Lowry JA, Ahdoot S et al. Prevention of Childhood Lead Toxicity. Council on environmental Health. Pediatrics. 2016; 138(1): e20161493. doi: 10.1542/peds.2016- 1493.

  2. Fontana D, Lascano VM, Solá N, Martínez S, Virgolini M, Mazzieri MR. Intoxicación por plomo y su tratamiento. Rev Salud Pública. 2013; 1: 49-59.

  3. Coon T, Miller M, Shirazi F, Sullivan J. Lead toxicity in a 14-yearold female with retained bullet fragments. Pediatrics. 2006; 117(1): 227-230. doi: 10.1542/peds.2005-1098.

  4. Selbst SM, Henretig F, Fee MA, Levy SE, Kitts AW. Lead poisoning in a child with a gunshot wound. Pediatrics. 1986; 77(3): 413-416.

  5. Linden MA, Stewart RM, Thal ER, Feit H. Lead poisoning from retained bullets. Pathogenesis, diagnosis and management. 1982; 195(3): 305-313.

  6. Dillman RO, Crumb CK, Lidsky MJ. Lead poisoning from a gunshot wound. Am J Med. 1979; 66(3): 509-514. doi:10.1016/0002- 9343(79)91083-0.

  7. McQuirter JL, Rothenberg SJ, Dinkins GA, Kondrashov V, Manalo M, Todd AC. Change in blood lead concentration up to 1 year after a gunshot wound with a retained bullet. Am J Epidemiol. 2004; 159(7): 683-692. doi: 10.1093/aje/kwh074.

  8. Charris V, Guerrero A, Barrera C. Intoxicación por plomo secundaria a alojamiento de esquirlas en el cuerpo. Acta Médica Colombiana. 2011; 36(4): 200-203. http://www.sci.unal.edu.co/scielo.php?script=sci_ arttext&pid=S0120-24482011000400007&lng=es&nrm=iso.

  9. Farrell SE, Vandevander P, Schoffstall JM, Lee DC. Blood lead levels in emergency department patients with retained lead bullets and shrapnel. Acad Emerg Med. 1999; 6(3): 208-212. doi: 10.1111/j.1553-2712.1999.tb00157.x.

  10. Tratamiento y vigilancia epidemiológica de las intoxicaciones ambientales infantiles con plomo. Edición 2013, Serie : Temas de Salud Ambiental. Ministerio de Salud, Presidencia de La Nación; 2013.




2020     |     www.medigraphic.com