"Heavy Metal": Management of lead toxicity following a gunshot injury with retained lead fragments, a case report.
- Resource Type
- Report
- Authors
- Costantini I; USD Poison Control Center, Azienda Ospedaliera Universitaria integrata, Verona, Italy.; Carollo M; Department of Diagnostics and Public Health, University of Verona, Verona, Italy.; Losso L; Department of Medical Toxicology Unit and Poison Control Centre, University of Florence, Florence, Italy.; Morando E; USD Poison Control Center, Azienda Ospedaliera Universitaria integrata, Verona, Italy.; Bacchion M; USD Poison Control Center, Azienda Ospedaliera Universitaria integrata, Verona, Italy.; Mantelli G; USD Poison Control Center, Azienda Ospedaliera Universitaria integrata, Verona, Italy.; Pizzuto M; Department of Medicine, University of Verona, Verona, Italy.; Spagnuolo L; Department of Medicine, University of Verona, Verona, Italy.; Ventura MV; Department of Medicine, University of Verona, Verona, Italy.; Ricci G; USD Poison Control Center, Azienda Ospedaliera Universitaria integrata, Verona, Italy.
- Source
- Publisher: Elsevier Ireland Ltd Country of Publication: Ireland NLM ID: 101630272 Publication Model: eCollection Cited Medium: Internet ISSN: 2214-7500 (Electronic) Linking ISSN: 22147500 NLM ISO Abbreviation: Toxicol Rep Subsets: PubMed not MEDLINE
- Subject
- Language
- English
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.
Competing Interests: 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.
(© 2023 The Authors.)