Abdominal pain caused by Tibetan medicine: A case report of lead poisoning

被引：0

作者：

Zhang, Liang ^{[1
]}

Yao, Xin ^{[1
]}

Chen, Yalun ^{[2
]}

Li, Ying ^{[1
]}

Qin, Jianping ^{[1
]}

Tang, Shanhong ^{[1
]}

机构：

[1] Gen Hosp Western Theater Command, Dept Gastroenterol, Chengdu 610083, Sichuan, Peoples R China

[2] Gen Hosp Western Theater Command, Dept Geriatr Med, Chengdu 610083, Sichuan, Peoples R China

来源：

HELIYON | 2024年 / 10卷 / 10期

基金：

中国国家自然科学基金;

关键词：

Lead poisoning; Abdominal pain; Anemia; Numbness;

D O I：

10.1016/j.heliyon.2024.e30167

中图分类号：

O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];

学科分类号：

07 ; 0710 ; 09 ;

摘要：

Nowadays, lead poisoning in children commonly occurs, but lead poisoning caused by the administration of Tibetan medicine is rarely reported. This report describes the diagnosis and management of lead poisoning in a 16-year-old girl presented with abdominal pain, vomiting, and anemia with limb numbness, who had a childhood history of epilepsy and took Tibetan medicine intermittently to control the symptoms. After admission into hospital, Computed tomography showed high-density shadows in the gastrointestinal tract. Video-Electroencephalography showed no signs of seizure. Reflux esophagitis was observed in gastroscopy. And no obvious abnormalities in the colonic mucosa through colonoscopy. Bone marrow smear test showed basophilic stippling in the erythrocytes. The blood and urine lead levels of 626 and 75.9 mu g/L, respectively. We therefore considered lead poisoning, and the patient improved after chelation therapy. Due to its atypical clinical manifestations, lead poisoning is easily misdiagnosed. Thus, clinicians should pay more attention to this disease. When abdominal pain, anemia, and neurological symptoms are present, the possibility of lead poisoning should be considered.

引用

页数：5

共 50 条

[21] Severe Lead Poisoning Caused by Use of Health Supplements Presenting as Acute Abdominal Pain During Pregnancy
Shamshirsaz, Alireza A.
Yankowitz, Jerome
Rijhsinghani, Asha
Greiner, Andrea
Holstein, Sarah A.
Niebyl, Jennifer R.
[J]. OBSTETRICS AND GYNECOLOGY, 2009, 114 (02): : 448 - 450
[22] Lead poisoning caused by contaminated Cordyceps, a Chinese herbal medicine: Two case reports
Wu, TN
Yang, KC
Wang, CM
Lai, JS
Ko, KN
Chang, PY
Liou, SH
[J]. SCIENCE OF THE TOTAL ENVIRONMENT, 1996, 182 (1-3) : 193 - 195
[23] Ayurveda medicinesLead poisoning, leading to haemolytic anaemia and abdominal pain: case report
[J]. Reactions Weekly, 2012, 1391 (1) : 11 - 11
[24] Organophosphate poisoning presenting with muscular weakness and abdominal pain- A case report
Chowdhury F.R.
Bari M.S.
Alam M.M.J.
Rahman M.M.
Bhattacharjee B.
Qayyum J.A.
Mridha M.S.
[J]. BMC Research Notes, 7 (1)
[25] Abdominal pain and diarrhea caused by splenic arteriovenous fistula: a case report
Zhang, Yinxin
Wang, Mingjun
Zhang, Jun
Qi, Yubo
[J]. INTERNATIONAL JOURNAL OF CLINICAL AND EXPERIMENTAL MEDICINE, 2015, 8 (08): : 14264 - 14267
[26] Acute abdominal pain caused by hematometra in an adolescent female: A case report
Chou B.
Bohn J.A.
Mairs R.
[J]. Journal of Medical Case Reports, 10 (1)
[27] On a Case of Myoclonia, Probably Caused by Lead Poisoning
Leubuscher, Paul
[J]. MONATSSCHRIFT FUR PSYCHIATRIE UND NEUROLOGIE, 1906, 19 (04): : 347 - 361
[28] Chronic anemia and abdominal pain from lead poisoning - Reply
Wolf, C
[J]. DEUTSCHE MEDIZINISCHE WOCHENSCHRIFT, 2001, 126 (45) : 1286 - 1286
[29] Correction to: Lead poisoning; a neglected potential diagnosis in abdominal pain
Mahtab Shabani
Seyed Kaveh Hadeiy
Parinaz Parhizgar
Nasim Zamani
Hamid Mehrad
Hossein Hassanian-Moghaddam
Scott Phillips
[J]. BMC Gastroenterology, 21
[30] Lead poisoning in a dog - a case report
Srebocan, E
Pompe-Gotal, J
Harapin, I
Capak, D
Butkovic, V
Stanin, D
[J]. BERLINER UND MUNCHENER TIERARZTLICHE WOCHENSCHRIFT, 2001, 114 (5-6): : 216 - 217

← 1 2 3 4 5 →