Abstract
A 23-month-old female child presented to an emergency department with a mild, nonspecific gastrointestinal illness and periodic fussiness and irritability; the initial physical examination was nonfocal and nondiagnostic. Rapid decompensation quickly ensued. Postmortem examination of hematologic laboratory data and reevaluation of radiographs showed a metallic foreign body in the stomach. Diagnosis of rapidly fatal lead encephalopathy was confirmed by finding toxic serum lead and elevated delta-aminolevulinic (ALA) levels in postmortem blood.
Original language | English (US) |
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Pages (from-to) | 397-400 |
Number of pages | 4 |
Journal | Journal of Emergency Medicine |
Volume | 6 |
Issue number | 5 |
DOIs | |
State | Published - 1988 |
Keywords
- encephalopathy
- foreign body ingestion
- lead toxicity
ASJC Scopus subject areas
- Emergency Medicine