Authors: H. Stuchlíková 1; P. Dvořák 1; S. Remešová 2; J. Procházka 2; J. Kukačka 3; R. Průša 3; J. Janda 1; J. Vavřinec 1 Authors‘ workplace: Pediatrická klinika 2. LF UK a FN Motol, Praha přednosta prof. MUDr. J. Vavřinec, DrSc. 1; Dětské oddělení nemocnice s poliklinikou, Teplice primář MUDr. J. Procházka 2; Ústav klinické biochemie a patobiochemie, Praha přednosta doc. MUDr. R. Průša, CSc. 3 Published in: Čes-slov Pediat 2006; 61 (12): 692-696. Category: Case Report
The authors present a rare case of severe lead poisoning in an otherwise healthy 10 year old girl. The patient was admitted to our department with gastrointestinal symptoms – abdominal pain, vomiting and constipation. Lab tests revealed anemia (haemoglobin 10 g/dl), basophilic stippling of erythrocytes, hyperbilirubinemia (54.9 μmol/l), elevated levels of aspartate and alanine aminotransferase (AST 2.02 μkat/l, ALT 3.43 μkat/l), elevated blood lead level (64.8 μg/dl). An old tea pot was proved as the source of exposure. Our patient was treated with intravenous chelators, the lab tests and clinical condition have normalized, and the blood lead level remains elevated even 10 months after chelation treatment.
Key words: lead, children, poisoning, tea pot
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