Lead Poisoning in an Infant: A Case Report

Document Type: Case Report

Authors

1 Pediatrician, Fellowship of Clinical Toxicology, Imam Reza Hospital of Mashhad, Mashhad University of Medical Sciences, Mashhad, Iran

2 Department of Pediatrics, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran

3 Clinical Research Development Center, Ghaem Hospital, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran

Abstract

There is inadequate knowledge about acute poisoning as a common problem in children. Acute poisoning in children, , is one of the health problems, requiring immediate treatment.
Case report: A two-month-old male infant with discoloration of the nails was admitted to the Emergency Pediatric Unit of Imam Reza Hospital, Mashhad, Iran in 2014. Following clinical evaluations, the blood lead level was determined to be high. The cause of neonatal condition was a traditional medicine, applied by the mother for the treatment of dermatitis in the infant. The lead concentration was high in this medicine, thus resulting in neonatal lead poisoning.
Conclusion: It is obvious that medicinal drugs should be used cautiously for children, especially infants. Also, drug characteristics and the process of production should be precisely specified. In fact, without taking precautions, any medicinal drug or substance could have various adverse effects on pediatric populations.

Keywords


  1. Perry H. Special toxicologic considerations in toddler. In: Erickson TB, Ahrens WR, Aks SE ,Baum CR, Ling LI, editors. Pediatric toxicology. 1st ed. New York: Medical Books/Mc Graw hill; 2005. P. 55.
  2. O’Donnell KA, Ewald MB. Poisonings. In: Kliegman RM, editor. St. Nelson textbook of pediatrics, 19th ed. Philadelphia: WB Saunders Co; 2011. P. 254.
  3. Henretig FM, Nelson LS, Levin NA, Howland MA, Hoffman RS, Flomenbaum NE, et al. Goldfrank’s toxicologic emergencies. 9th ed. New York: MC Graw-Hill; 2011. P. 1266-70.
  4. Markowitz M. Lead poisoning. In: Kliegman RM, Stanton B, Geme JS, Schor NF, Behrman RE, editors. Nelson textbook of pediatrics. 19th ed. New York: Elsevier Health Sciences; 2011. P. 2448-50.
  5. Ibrahim D, Froberg B, Wolf A, Rusyniak DE. Heavy metal poisoning: clinical presentations and pathophysiology. Clin Lab Med. 2006; 26(1):67-97.
  6. Rao JV, Vengamma B, Naveen T, Naveen V. Lead encephalopathy in adults. J Neurosci Rural Pract. 2014; 5(2):161-3.
  7. Beattie AD, Mullin PJ, Baxter RH, Moore MR. Acute lead poisoning: an unusual cause of hepatitis. Scott Med J. 1979; 24(4):318-21.
  8. Sensirivatana R, Supachadhiwong O, Phancharoen S, Mitrakul C. Neonatal lead poisoning. An unusual clinical manifestation. Clin Pediatr (Phila). 1983; 22(8):582-4.