Pucci Chiara, Tomassini Luca, dell'Omo Marco, Deini Alessandra, Lillacci Daniele, Gambelunghe Cristiana, Zampolini Mauro, Murgia Nicola, Gambelunghe Angela
Section of Occupational Medicine, Respiratory Diseases and Toxicology, Department of Medicine and Surgery, University of Perugia, Perugia, Italy.
School of Advanced Studies, University of Camerino, Camerino, Italy.
Ann Occup Environ Med. 2025 Jun;37:e15. doi: 10.35371/aoem.2025.37.e15. Epub 2025 May 26.
Lead poisoning is a serious public health issue that can arise from various sources, including nonoccupational exposure. This can make it challenging to manage, as lead poisoning can arise from unexpected sources. This case study examined lead poisoning in a 52-year-old man linked to hobbyist activities involving lead pellets, highlighting the diagnostic and therapeutic challenges associated with this uncommon source of exposure.
A 52-year-old man with a history of sports fishing presented with confusion, balance disorders, and memory loss. The initial medical evaluation revealed anemia and elevated lead levels. Further investigations, including imaging and blood tests, confirmed the presence of ingested lead pellets. The patient underwent chelation therapy, which led to a reduction in blood lead levels and improvement in symptoms. Follow-up over 46 months showed a gradual decrease in lead levels and partial recovery of cognitive function, although a few lead-related effects persisted.
This case underscores the need for awareness of non-traditional sources of lead exposure, such as hobbyist activities. Effective diagnosis and treatment, including chelation therapy, can significantly alleviate the effects of lead poisoning. Ongoing monitoring is essential to manage long-term health outcomes related to chronic lead exposure.
铅中毒是一个严重的公共卫生问题,可源于包括非职业性接触在内的各种来源。这可能使其管理具有挑战性,因为铅中毒可能源于意想不到的来源。本案例研究调查了一名52岁男子因涉及铅弹的业余活动而导致的铅中毒,突出了与这种不常见接触源相关的诊断和治疗挑战。
一名有运动钓鱼史的52岁男子出现意识模糊、平衡障碍和记忆力减退。初步医学评估显示贫血和铅水平升高。进一步检查,包括影像学检查和血液检测,证实存在摄入的铅弹。患者接受了螯合疗法,这导致血铅水平降低和症状改善。46个月的随访显示铅水平逐渐下降,认知功能部分恢复,尽管仍有一些与铅相关的影响持续存在。
本案例强调了认识非传统铅接触源(如业余活动)的必要性。有效的诊断和治疗,包括螯合疗法,可显著减轻铅中毒的影响。持续监测对于管理与慢性铅接触相关的长期健康结果至关重要。