Quadriparesis Caused by Lead Poisoning Nine Years After a Gunshot Wound With Retained Bullet Fragments: A Case Report. 

 -  2016 
<br/><br/> 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. 
<br/><br/><br/>English 
<br/><br/><label>ISSN: </label>1934-1482 
<br/><br/><label>Subjects--Topical Terms: </label><br/>*Foreign Bodies/su [Surgery]<br/>*Lead Poisoning/et [Etiology]<br/>*Quadriplegia/et [Etiology]<br/>*Wounds, Gunshot/co [Complications]<br/>Adult<br/>Chelation Therapy/mt [Methods]<br/>Femur/su [Surgery]<br/>Follow-Up Studies<br/>Humans<br/>Lead Poisoning/pp [Physiopathology]<br/>Male<br/>Quadriplegia/pp [Physiopathology]<br/>Quadriplegia/th [Therapy]<br/>Rare Diseases<br/>Severity of Illness Index<br/>Time Factors
<br/><br/><label>Subjects--Geographic Terms: </label><br/>MedStar National Rehabilitation Network<br/>MedStar Washington Hospital Center
<br/><br/><label>Index Terms--Occupation: </label><br/>Radiology
<br/><br/><label>Index Terms--Function: </label><br/>Journal Article