Asymptomatic congenital lead poisoning - case report.
BACKGROUND
Congenital lead poisoning is uncommon and there is no consensus on the management of the newborn.


METHODS
A female infant was born to a lead-burdened woman identified by screening just prior to delivery. Maternal blood lead level (BLL) was 58 μg/dL. The infant's BLL on the second day of life was 72 μg/dL with a free erythrocyte protoporphyrin level of 175 μg/dL. The child was managed by an exchange transfusion followed by chelation. The BLL 6 h after exchange transfusion was 11.4 μg/dL. Follow-up 2 years later showed a BLL of 9 μg/dL and normal development.


CONCLUSIONS
We present the details of a case of congenital lead poisoning treated aggressively which appears to have resulted in a favorable outcome.
Neonatal Intensive Care Unit, Department of Pediatrics, Lehigh Valley Health Network, Allentown, PA 18105-1556, USA. abiarun53@gmail.com
Nachammai R
NR
Chinnakaruppan
Steven Matthew
SM
Marcus
D000328:Adult; D004112:Dimercaprol / Q000627:therapeutic use; D005078:Exchange Transfusion, Whole Blood; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D007854:Lead / Q000097:blood; D007855:Lead Poisoning / Q000151:congenital* / Q000628:therapy; D011247:Pregnancy; D016896:Treatment Outcome
D004112:Dimercaprol; D007854:Lead