Saturnism after accident by large caliber firearm: case report

Abstract

Saturnism is the poisoning that occurs in activities with high occupational exposure to lead (Pb). Although less common, poisoning can occur after incidents with firearm projectiles (FAP). The present study describes a clinical-surgical case of saturnism by FAP accident in a male patient exposed to multiple fragments and blood lead limiting levels. His main complaint in a maxillofacial consultation was "lead in the body". After several surgeries and controls between 2007 and 2011, the patient had decreased blood lead levels from 44 mcg/dL to 15.6 mcg/dL and improvement in urinary tract infections, depressions, and mood changes. Saturnism should be included in the diagnostic investigation of patients wounded by gunshots. The proper poisoning diagnosis certainly will assist in the appropriate intervention.

Lesões cranianas por Projéteis de Arma de Fogo (PAF): possíveis efeitos do chumbo

“…Até o ano de 2004, menos de 100 casos de toxicidade por chumbo em pacientes com projéteis retidos foram relatados na literatura médica, visto que o início dos sintomas é insidioso e exige um alto nível de suspeita para solicitar o teste. São pouco estudadas as condições associadas a níveis elevados de chumbo no sangue nesses pacientes (GOMES RCF, et al, 2015;PEARCE JMS, et al, 2007).…”