“Heavy Metal”: Management of lead toxicity following a gunshot injury with retained lead fragments, a case report
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, compl...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2023-12-01
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| Series: | Toxicology Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2214750023001312 |
| _version_ | 1797386795400298496 |
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| author | Ilaria Costantini Massimo Carollo Lorenzo Losso Elia Morando Matilde Bacchion Giovanni Mantelli Mauro Pizzuto Letizia Spagnuolo Maria Vittoria Ventura Giorgio Ricci |
| author_facet | Ilaria Costantini Massimo Carollo Lorenzo Losso Elia Morando Matilde Bacchion Giovanni Mantelli Mauro Pizzuto Letizia Spagnuolo Maria Vittoria Ventura Giorgio Ricci |
| author_sort | Ilaria Costantini |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-03-08T22:14:32Z |
| format | Article |
| id | doaj.art-b7731ca35cfd4553a1ac3a8286fbedf7 |
| institution | Directory Open Access Journal |
| issn | 2214-7500 |
| language | English |
| last_indexed | 2024-03-08T22:14:32Z |
| publishDate | 2023-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Toxicology Reports |
| spelling | doaj.art-b7731ca35cfd4553a1ac3a8286fbedf72023-12-19T04:17:05ZengElsevierToxicology Reports2214-75002023-12-0111444448“Heavy Metal”: Management of lead toxicity following a gunshot injury with retained lead fragments, a case reportIlaria Costantini0Massimo Carollo1Lorenzo Losso2Elia Morando3Matilde Bacchion4Giovanni Mantelli5Mauro Pizzuto6Letizia Spagnuolo7Maria Vittoria Ventura8Giorgio Ricci9USD Poison Control Center, Azienda Ospedaliera Universitaria integrata, Verona, ItalyDepartment of Diagnostics and Public Health, University of Verona, Verona, Italy; Corresponding author at: Department of Diagnostics and Public Health, University of Verona, Piazzale Ludovico Antonio Scuro, 8, 37134 Verona, Italy.Department of Medical Toxicology Unit and Poison Control Centre, University of Florence, Florence, ItalyUSD Poison Control Center, Azienda Ospedaliera Universitaria integrata, Verona, ItalyUSD Poison Control Center, Azienda Ospedaliera Universitaria integrata, Verona, ItalyUSD Poison Control Center, Azienda Ospedaliera Universitaria integrata, Verona, ItalyDepartment of Medicine, University of Verona, Verona, ItalyDepartment of Medicine, University of Verona, Verona, ItalyDepartment of Medicine, University of Verona, Verona, ItalyUSD Poison Control Center, Azienda Ospedaliera Universitaria integrata, Verona, ItalyThere 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.http://www.sciencedirect.com/science/article/pii/S2214750023001312Lead poisoningToxicologyPoisonsPoison control centersChelation therapy |
| spellingShingle | Ilaria Costantini Massimo Carollo Lorenzo Losso Elia Morando Matilde Bacchion Giovanni Mantelli Mauro Pizzuto Letizia Spagnuolo Maria Vittoria Ventura Giorgio Ricci “Heavy Metal”: Management of lead toxicity following a gunshot injury with retained lead fragments, a case report Toxicology Reports Lead poisoning Toxicology Poisons Poison control centers Chelation therapy |
| title | “Heavy Metal”: Management of lead toxicity following a gunshot injury with retained lead fragments, a case report |
| title_full | “Heavy Metal”: Management of lead toxicity following a gunshot injury with retained lead fragments, a case report |
| title_fullStr | “Heavy Metal”: Management of lead toxicity following a gunshot injury with retained lead fragments, a case report |
| title_full_unstemmed | “Heavy Metal”: Management of lead toxicity following a gunshot injury with retained lead fragments, a case report |
| title_short | “Heavy Metal”: Management of lead toxicity following a gunshot injury with retained lead fragments, a case report |
| title_sort | heavy metal management of lead toxicity following a gunshot injury with retained lead fragments a case report |
| topic | Lead poisoning Toxicology Poisons Poison control centers Chelation therapy |
| url | http://www.sciencedirect.com/science/article/pii/S2214750023001312 |
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