[Ingestion of foreign bodies containing lead]

F Martinón-Torres1, T Dargallo Carbonell, S Marcos Alonso

  • 1Servicios de Críticos y Urgencias Pediátricas, Hospital Clínico Universitario de Santiago de Compostela, España. fedemartinon@hotmail.com

Insights

Ingesting lead foreign bodies can cause rapid acute lead poisoning in children, even without symptoms. Prompt screening and treatment are crucial following any suspected lead ingestion.

Area of Science:

  • Pediatric Toxicology
  • Environmental Health

Background:

  • Ingestion of foreign bodies containing lead poses a significant risk of acute lead poisoning in children.
  • The acidic gastric environment facilitates lead dissolution and absorption.

Observation:

  • A 3-year-old girl ingested a lead sinker and remained asymptomatic.
  • Proton pump inhibitor therapy was initiated, and the foreign body was removed via endoscopy within 6 hours.

Findings:

  • Despite rapid removal, blood lead levels peaked over 40 µg/dL within 3 hours of ingestion.
  • The child experienced a complete recovery and remains well after one year.

Implications:

  • Acute lead poisoning can develop rapidly after foreign body ingestion.
  • Lead screening and prompt treatment are essential for children with suspected lead foreign body ingestion, even if asymptomatic.

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