conclusions penetrating trauma from wooden fragments provides a diagnostic challenge. a stubborn discharge from a wound must always raise the suspicion of retained fragment. early and appropriate surgical exploration is imperative. introduction in contrast with victims of major trauma, patients who suffer minor injuries receive little specialist input. in most cases, this causes no difficulty, ...

Delayed presentations have been reported following gunshot wounds (GSW) with retained intraspinal bullets due to migration of projectile or lead intoxication. We report on the rare occurrence of delayed pyogenic spondylodiscitis and neurological dysfunction following injury from low velocity GSW to the spine with a retained projectile. A 55-year-old male presented 4 months following GSW to the ...

Dra. Mariana Spitz – Rua Paulo César de Andrade 200/402 22221-090 Rio de Janeiro RJ Brasil. E-mail: [email protected] Firearm projectiles have been described, albeit rarely, as a cause of lead toxicity. The usual route of lead exposure is oral ingestion, but toxicity secondary to retained bullet fragments has been well documented. Switz et al. described the first case in 1976 – a bullet wa...