Lead poisoning in children: a case report

Zineb Jouhadi1, Dalal Bensabbahia1, Fouad Chafiq2

  • 1Pediatric Infectious Diseases Children's Hospital, Casablanca, Morocco.

Insights

Lead colic, a rare cause of abdominal pain, was diagnosed in a 2-year-old child presenting with acute abdomen. Diagnosis was confirmed by abdominal imaging, history of pica, and elevated blood lead levels, highlighting a rare presentation of lead poisoning.

Area of Science:

  • Pediatrics
  • Toxicology
  • Gastroenterology

Background:

  • Lead poisoning is a significant public health concern, particularly in pediatric populations.
  • Lead colic, a rare manifestation of lead poisoning, can mimic acute abdominal conditions.

Observation:

  • A 2-year-old child presented with symptoms suggestive of acute abdomen.
  • Abdominal radiography revealed intra-colonic metallic particles, prompting suspicion of lead poisoning.
  • Patient history included pica and consumption of peeling paint.

Findings:

  • Elevated blood lead levels (BLL) confirmed the diagnosis of lead poisoning.
  • The clinical presentation of lead colic in this case was unusual and mimicked acute abdomen.

Implications:

  • This case underscores the importance of considering lead poisoning in children presenting with unexplained abdominal pain.
  • Early diagnosis and intervention are crucial to prevent long-term health consequences of lead exposure.
  • Public health strategies should focus on preventing childhood lead exposure, especially from environmental sources like old paint.

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