title: Nausea, Vomiting, and Weight Loss in a Young Adult Patient With a History of a Gunshot Wound.
abstract: Assessing victims of gunshot wounds with retained bullets/bullet fragments for lead toxicity is not always considered until the patient develops signs and symptoms of toxicity. We discuss the case of a 19-year-old young man who received a diagnosis of chronic lead toxicity (serum lead concentration 51 μg/dL) 5 weeks after a hunting accident. Extensive wound debridement occurred following the accident; however, lead toxicity was not diagnosed until after his fourth emergency department visit. Oral chelation therapy was required for the management of his lead toxicity.
authors.affiliation: From the *Pediatric Residency Program and †Adolescent Medicine, Akron Children's Hospital, Akron; ‡Department of Pediatrics, Northeast Ohio Medical University, Rootstown; and §Divisions of Clinical Pharmacology and Toxicology and the Rebecca D. Considine Research Institute, Akron Children's Hospital, Akron, OH.
authors.forename: Jessica
authors.initials: J
authors.lastname: James
authors.forename: James
authors.initials: J
authors.lastname: Fitzgibbon
authors.forename: Martha
authors.initials: M
authors.lastname: Blackford
mesh_terms: D015913:Chelation Therapy / Q000379:methods; D003646:Debridement; D005547:Foreign Bodies / Q000150:complications*; D006801:Humans; D007855:Lead Poisoning / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy; D008297:Male; D009325:Nausea / Q000209:etiology*; D014839:Vomiting / Q000209:etiology*; D015431:Weight Loss; D014948:Wounds, Gunshot / Q000150:complications*; D055815:Young Adult