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[Ingested lead cartridges cause trouble].

Liv Bygdnes1, Odd Kildahl-Andersen, Janna Berg

  • 1Medisinsk avdeling, Hålogalandsykehuset Harstad, 9480 Harstad. livbygdn@online.no

Tidsskrift for Den Norske Laegeforening : Tidsskrift for Praktisk Medicin, Ny Raekke
|December 17, 2005
PubMed
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Ingesting lead shots can cause severe organ damage. Surgical removal is the most effective treatment for lead poisoning from ingested shots, though dimercaptosuccinic acid (DMSA) aids in reducing lead levels.

Area of Science:

  • Toxicology
  • Gastroenterology
  • Internal Medicine

Background:

  • Lead poisoning, though rare, can result from ingesting lead materials.
  • Oral intake of lead shots can lead to significant damage to multiple organ systems, including the nervous system, liver, kidneys, and bone marrow.

Observation:

  • Two patients presented with symptoms of asthenia, nausea, and abdominal pain after ingesting approximately 120 grams of lead shots.
  • Initial attempts to remove lead shots using conservative methods such as fluids, laxatives, and colonoscopy were unsuccessful.

Findings:

  • Surgical intervention was ultimately required for the successful removal of ingested lead shots.
  • Treatment with dimercaptosuccinic acid (DMSA) demonstrated a notable reduction in blood lead concentration and increased urinary lead excretion.

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Implications:

  • Surgical intervention is the most efficient method for treating oral lead poisoning from ingested materials.
  • Dimercaptosuccinic acid (DMSA) therapy may require prolonged administration over several months to achieve maximal therapeutic effects in reducing lead burden.