Hyper Acute Quadriplegia with Chronic Lead Toxicity; a Case Report
EMERGENCY ,
Vol. 6 No. 1 (2018),
19 November 2017
,
Page e44
https://doi.org/10.22037/emergency.v6i1.21609
Abstract
Industrial lead toxicity is more common among miners. This type of toxicity occurs in two forms: acute and chronic. Chronic toxicity is associated with different levels of brain dysfunction, motor impairment, cognitive dysfunction, and neuropsychiatric problems, including depression, anxiety, irritability, and emotional disorders. However, quadriplegia induced by chronic toxicity is very rare. Here we report a 37-year-old male patient with a history of desert hunting, where he used to roll lead bullets in his mouth, who was admitted with sensory impairment, muscle weakness, and quadriplegia and final diagnosis of lead toxicity.
- Lead poisoning
- nervous system
- adult
- quadriplegia
- emergency service
- hospital
- case report
References
Gidlow D. Lead toxicity. Occupational Medicine. 2004;54(2):76-81.
Papanikolaou NC, Hatzidaki EG, Belivanis S, Tzanakakis GN, Tsatsakis AM. Lead toxicity update. A brief review. Medical science monitor. 2005;11(10):RA329-RA36.
Tandon S, Chatterjee M, Bhargava A, Shukla V, Bihari V. Lead poisoning in Indian silver refiners. Science of the total environment. 2001;281(1-3):177-82.
Mason LH, Mathews MJ, Han DY. Neuropsychiatric symptom assessments in toxic exposure. Psychiatric Clinics. 2013;36(2):201-8.
Majchrzak M, Celiński R, Kowalska T, Sajewicz M. Fatal case of poisoning with a new cathinone derivative: α-propylaminopentiophenone (N-PP). Forensic Toxicology. 2018:1-9.
Rubens O, Logina I, Kravale I, Eglite M, Donaghy M. Peripheral neuropathy in chronic occupational inorganic lead exposure: a clinical and electrophysiological study. Journal of Neurology, Neurosurgery & Psychiatry. 2001;71(2):200-4.
Wu M-L, Deng J-F, Lin K-P, Tsai W-J. Lead, mercury, and arsenic poisoning due to topical use of traditional Chinese medicines. The American journal of medicine. 2013;126(5):451-4.
Mason LH, Harp JP, Han DY. Pb neurotoxicity: neuropsychological effects of lead toxicity. BioMed research international. 2014;2014.
Baigmohammadi M, Mohammadi M, Mahmoodpour A, Karvandian K, Aghdashi M. Quadriplegia due to lead-contaminated opium&58; a case report. Tehran University Medical Journal. 2008;66(7):521-4.
Sansar W, Ahboucha S, Gamrani H. Chronic lead intoxication affects glial and neural systems and induces hypoactivity in adult rat. Acta histochemica. 2011;113(6):601-7.
Goyer RA. Results of lead research: prenatal exposure and neurological consequences. Environmental Health Perspectives. 1996;104(10):1050.
Wilhelm M, Heinzow B, Angerer J, Schulz C. Reassessment of critical lead effects by the German Human Biomonitoring Commission results in suspension of the human biomonitoring values (HBM I and HBM II) for lead in blood of children and adults. International journal of hygiene and environmental health. 2010;213(4):265-9.
Baker EL, Feldman RG, White RF, Harley JP, Dinse GE, Berkey CS. Monitoring neurotoxins in industry: development of a neurobehavioral test battery. Journal of occupational medicine: official publication of the Industrial Medical Association. 1983.
- Abstract Viewed: 447 times
- PDF Downloaded: 589 times