RESUMO
An 11-month-old child presented with persistent seizures requiring ventilator support. The child had global developmental delay, was staying in the premises of battery manufacturing unit, had microcytic and hypochromic anemia with basophilic stripling on peripheral smear, lead line on radiograph of the long bones and BLL of 244 µg/dl. The CT scan of the brain revealed cerebral atrophy. The mother also had high BLL and lead line in the radiograph of the long bones. The child was managed with chelation therapy. Given the continuing lead exposure among occupational and general populations in India, this case study highlights the need for prompt environmental preventive actions as well as nutritional and preventive counseling for occupational populations.
Assuntos
Coma/etiologia , Deficiências do Desenvolvimento/etiologia , Intoxicação do Sistema Nervoso por Chumbo na Infância/complicações , Exposição Materna/efeitos adversos , Convulsões/etiologia , Feminino , Humanos , Lactente , Intoxicação do Sistema Nervoso por Chumbo na Infância/congênito , Intoxicação do Sistema Nervoso por Chumbo na Infância/diagnóstico , Intoxicação do Sistema Nervoso por Chumbo na Infância/terapia , Exposição Materna/prevenção & controle , Assistência Perinatal , Guias de Prática Clínica como Assunto , Tomografia Computadorizada por Raios XRESUMO
An infant, born at 35 weeks' gestation to a woman who sniffed petrol, had a cord blood lead level eight times the accepted limit. Treatment with oral dimercaptosuccinic acid promptly reduced his blood lead levels. To our knowledge, this is the first reported case of congenital lead poisoning secondary to maternal petrol sniffing. We suggest that at-risk pregnancies should be identified, cord blood lead levels tested, and chelation therapy and developmental follow-up offered to affected infants.