RESUMEN
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.
Asunto(s)
Coma/etiología , Discapacidades del Desarrollo/etiología , Intoxicación del Sistema Nervioso por Plomo en la Infancia/complicaciones , Exposición Materna/efectos adversos , Convulsiones/etiología , Femenino , Humanos , Lactante , Intoxicación del Sistema Nervioso por Plomo en la Infancia/congénito , Intoxicación del Sistema Nervioso por Plomo en la Infancia/diagnóstico , Intoxicación del Sistema Nervioso por Plomo en la Infancia/terapia , Exposición Materna/prevención & control , Atención Perinatal , Guías de Práctica Clínica como Asunto , Tomografía Computarizada por Rayos XRESUMEN
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.
