Congenital lead poisoning: an unusual presentation

Ipsita Mazumdar1, K Goswami2

  • 1Department of Biochemistry, KPC Medical College & Hospital, Jadavpur, West Bengal India.

Insights

This case study highlights severe lead poisoning in a breastfed infant due to an uncommon source. Early diagnosis and chelation therapy effectively treated the child

Area of Science:

  • Pediatric Environmental Health
  • Toxicology
  • Clinical Case Study

Background:

  • Lead poisoning is a significant environmental health hazard for children, posing both acquired and congenital risks.
  • Identifying the source of lead exposure is crucial for effective treatment and prevention.

Observation:

  • A 6-month-old male infant presented with failure to thrive, poor feeding, and persistent vomiting.
  • Clinical presentation included severe anemia (Hb 5.4 gm/dl), elevated liver enzymes, and a high blood lead level (83 μg/dl).
  • Red blood cell morphology revealed basophilic stippling and Cabot rings, indicative of lead intoxication.

Findings:

  • The infant was diagnosed with severe lead poisoning.
  • Treatment with calcium versenate (EDTACaNa2) resulted in successful lead mobilization from the body.

Implications:

  • This case underscores the importance of considering lead poisoning even with unusual exposure routes in infants.
  • Prompt diagnosis and chelation therapy are vital for managing severe lead intoxication in pediatric patients.
  • Awareness of potential environmental lead sources is critical for pediatricians and public health officials.

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