TY  - BOOK
AU  - Bunning, Robert D
AU  - Jelinek, James S
AU  - Nally, Emma
TI  - Quadriparesis Caused by Lead Poisoning Nine Years After a Gunshot Wound With Retained Bullet Fragments: A Case Report
SN  - 1934-1482
PY  - 2016///
KW  - *Foreign Bodies/su [Surgery]
KW  - *Lead Poisoning/et [Etiology]
KW  - *Quadriplegia/et [Etiology]
KW  - *Wounds, Gunshot/co [Complications]
KW  - Adult
KW  - Chelation Therapy/mt [Methods]
KW  - Femur/su [Surgery]
KW  - Follow-Up Studies
KW  - Humans
KW  - Lead Poisoning/pp [Physiopathology]
KW  - Male
KW  - Quadriplegia/pp [Physiopathology]
KW  - Quadriplegia/th [Therapy]
KW  - Rare Diseases
KW  - Severity of Illness Index
KW  - Time Factors
KW  - MedStar National Rehabilitation Network
KW  - MedStar Washington Hospital Center
KW  - Radiology
KW  - Journal Article
N2  - Copyright (c) 2016 American Academy of Physical Medicine and Rehabilitation. Published by Elsevier Inc. All rights reserved; Lead toxicity in adults is characterized by nonspecific symptoms of abdominal pain, vomiting, constipation, fatigue, and weight loss. We present a case of severe lead toxicity that developed subacutely, causing quadriparesis 9 years after a gunshot wound with retained bullet fragments. The onset of symptoms may have been related to the development of a pseudocyst. The long interval between the gunshot wound and the onset of symptoms contributed to a delay in suspecting that the retained bullet was a source of lead toxicity. The patient's symptoms gradually improved after chelation therapy, removal of the bullet fragment, and an extended program of acute inpatient rehabilitation; LEVEL OF EVIDENCE: To be determined
UR  - https://dx.doi.org/10.1016/j.pmrj.2016.09.012
ER  -