Lead poisoning by intradiscal firearm bullet: a case report

Spine
Alexandre F CristanteRaphael M Marcon

Abstract

The report of a rare case of lead poisoning by an intradiscal firearm bullet is presented. To describe and discuss the clinical and radiologic features (by computed tomography and magnetic resonance imaging) of a gunshot wound in the L2-L3 space which caused lead poisoning 5 years afterwards. Lead poisoning from firearm bullets is rare, but the possibility should be investigated in the case of bullets lodged in the joints. A 30-year-old man presented to the emergency room with an intense lumbar pain complaint, colic, intestinal constipation, insomnia, and progressive headache for 20 days. He had a history of a gunshot wound 5 years previously, and the bullet was left in situ, in the intravertebral disc between L2 and L3, as confirmed by radiographs, computed tomography, and magnetic resonance imaging. The hypothesis of lead poisoning was confirmed by the laboratory results. Chelation treatment with calcium versenate (disodium ethylenediaminetetraacetate, or CaNa (2) EDTA) was indicated. The patient was admitted and treated once again, before surgical removal of the bullet. After removal of the bullet, the patient had an episode of recurrence, and a new chelation cycle was performed, with complete resolution. Lead poisoning can ...Continue Reading

References

Oct 1, 1983·Surgical Neurology·D S KerinG B Hieshima
Oct 1, 1993·Clinical Biochemistry·G Lockitch
Apr 7, 1999·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·S E FarrellD C Lee
Mar 4, 2000·Environmental Health Perspectives·A O Onalaja, L Claudio
May 16, 2000·São Paulo Medical Journal = Revista Paulista De Medicina·P R de MadureiraR J Vieira
Aug 15, 2000·American Journal of Industrial Medicine·S Hernberg
Apr 20, 2001·AJR. American Journal of Roentgenology·J DeMartiniC S Powell
Jan 30, 2004·Annual Review of Medicine·Herbert Needleman
Jul 21, 2004·Journal of Spinal Disorders & Techniques·Gaetano J ScuderiFrank Eismont
Jan 7, 2006·Pediatrics·Troy CoonJohn Sullivan
Dec 2, 2006·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Ferda CağaviBektaş Açikgöz
Apr 25, 2008·Neurologia Medico-chirurgica·Davut Ceylan, Murat Cosar
Apr 26, 2008·Mutation Research·Pamela A MeyerHenry Falk
Apr 30, 2008·World Journal of Gastroenterology : WJG·Vesna BegovicDino Tarabar

❮ Previous
Next ❯

Citations

May 15, 2013·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·C Bellabarba
Apr 30, 2014·Spinal Cord·T E P de Barros FilhoR Bilhar
Jan 10, 2016·International Journal of Surgery Case Reports·Abolfazl Rahimizadeh, Kaveh Haddadi
Jun 14, 2013·Spine·Abolfazl RahimizadehShaghayegh Rahimizadeh
Jun 14, 2015·The Spine Journal : Official Journal of the North American Spine Society·Andre JakoiJay M Zampini
Apr 1, 2012·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·T DienstknechtT C Hardcastle
Jan 24, 2019·Revista da Associação Médica Brasileira·Isabela MachadoRodolfo Mendes Queiroz
Feb 12, 2021·Global Spine Journal·Laurence GeAddisu Mesfin
Aug 21, 2021·Toxicology and Applied Pharmacology·Saeed SamarghandianOmid Mehrpour

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.