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Systemic plumbism following remote ballistic injury
Matthew Rheinboldt1, Kirenza Francis
1ER division, Department of Radiology, Henry Ford Hospital, Detroit, MI, USA, mrheinbold@yahoo.com.
Emergency Radiology
|March 5, 2014
Summary
A gunshot injury led to lead poisoning (plumbism) in a patient with a femur fracture. Surgical removal of ballistic fragments successfully treated the systemic lead poisoning and resolved symptoms.
Area of Science:
- Toxicology
- Orthopedic Surgery
- Emergency Medicine
Background:
- Systemic lead poisoning (plumbism) is a rare complication of penetrating ballistic injuries.
- Intra-osseous or intra-synovial fragment location and fragmentation degree increase plumbism risk.
- Patient presented with abdominal pain, vomiting, and altered mental status.
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