Citation

Muller H, Regard S, Petriccioli N, Kherad O. F1000Res. 2013; 2: 250.

Affiliation

Service de Médecine Interne, Hôpital de la Tour, Geneva, Switzerland.

Copyright

(Copyright © 2013, F1000 Research)

DOI

10.12688/f1000research.2-250.v1

PMID

24555110

Abstract

A 42-year-old man from Bhutan was admitted to the emergency department with a 5-day history of abdominal pain, nausea and vomiting. Enhanced abdominal CT scan was found negative, however laboratory tests showed hemolytic anemia and basophilic stippling which are often seen in lead and heavy metal poisoning. Additional tests revealed a high level of lead in blood and urine. The patient was administered a chelator treatment with rapid improvement of the symptoms. A detailed interview revealed that the patient had been taking daily Bhutanese traditional medicines to treat a Bell's palsy from which he had been suffering for a few months. The analysis of these medicines confirmed the presence of a high level of lead.

Language: en