Lead poisoning induced by gunshot injury with retained bullet fragments

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Lead poisoning after gunshot wound.

CONTEXT Despite the absence of symptoms in the majority of patients carrying lead bullet fragments in their bodies, there needs to be an awareness of the possible signs and symptoms of lead intoxication when bullets are lodged in large joints like knees, hips and shoulders. Such patients merit closer follow-up, and even surgical procedure for removing the fragments. OBJECTIVE To describe a pa...

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Fractures Due to Gunshot Wounds: Do Retained Bullet Fragments Affect Union?

BACKGROUND Many types of projectiles, including modern hollow point bullets, fragment into smaller pieces upon impact, particularly when striking bone. This study was performed to examine the effect on time to union with retained bullet material near a fracture site in cases of gunshot injury. METHODS All gunshot injuries operatively treated with internal fixation at a Level 1 Trauma Center b...

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Lead poisoning due to gunshot bullet in contact with cerebrospinal fluid: case report.

CONTEXT Lead poisoning due to retained gunshot bullets is a well-known clinical problem that is fairly frequently described in the literature. The risk factors for this occurrence relate mainly to whether the lead bullet is in contact with the joint fluid or cerebrospinal fluid (CSF). The treatment for these cases entails chelation therapy while symptoms are shown and definitive surgical remova...

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Elevated Blood Lead Levels Associated with Retained Bullet Fragments — United States, 2003–2012

An estimated 115,000 firearm injuries occur annually in the United States, and approximately 70% are nonfatal (1). Retained bullet fragments (RBFs) are an infrequently reported, but important, cause of lead toxicity; symptoms are often nonspecific and can appear years after suffering a gunshot wound (2,3). Adult blood lead level (BLL) screening is most commonly indicated for monitoring of occup...

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A Retained Bullet in Pericardial Sac: Penetrating Gunshot Injury of the Heart

Penetrating cardiac trauma is rarely seen but when present there is a short time lag to keep the patients alive. Cardiac gunshot injuries are exceptional and it occurs mostly during interpersonal disagreements casualties or a mistakenly fired gun nowadays. Here we present a case of cardiac gunshot injury from the war of Kobani, Syria. The patient was mistakenly diagnosed to have a sole bullet i...

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ژورنال

عنوان ژورنال: QJM: An International Journal of Medicine

سال: 2021

ISSN: 1460-2725,1460-2393

DOI: 10.1093/qjmed/hcab144