Spriewald B M, Rascu A, Schaller K H, Angerer J, Kalden J R, Harrer T
Department of Medicine III, University Erlangen-Nuremberg, Germany.
Occup Environ Med. 1999 Apr;56(4):282-3. doi: 10.1136/oem.56.4.282.
Lead intoxication in adults without occupational exposure is a rare and unexpected event. The case of a western European is reported who had severe anaemia after ingestion of several ayurvedic drugs, obtained during a trip to India. Laboratory findings showed high blood lead concentrations, an increased urinary lead concentration, and an increased urinary excretion of delta-aminolaevulinic acid. Also, slightly increased urinary concentrations of arsenic and silver were found. Physicians should be aware that with growing international travel and rising self medication with drugs from uncontrolled sources the risk of drug induced poisoning could increase in the future.
无职业暴露的成人铅中毒是一种罕见且意外的事件。本文报告了一名西欧人的病例,该患者在印度旅行期间服用了几种阿育吠陀药物后出现严重贫血。实验室检查结果显示血铅浓度升高、尿铅浓度增加以及δ-氨基乙酰丙酸的尿排泄增加。此外,还发现尿中砷和银的浓度略有升高。医生应意识到,随着国际旅行的增加以及来自不受控制来源的药物自我用药的增多,未来药物引起中毒的风险可能会增加。