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Clinical toxicology (Philadelphia, Pa.)

Asymptomatic congenital lead poisoning - case report.


PMID 20533891

Abstract

Congenital lead poisoning is uncommon and there is no consensus on the management of the newborn. A female infant was born to a lead-burdened woman identified by screening just prior to delivery. Maternal blood lead level (BLL) was 58 μg/dL. The infant's BLL on the second day of life was 72 μg/dL with a free erythrocyte protoporphyrin level of 175 μg/dL. The child was managed by an exchange transfusion followed by chelation. The BLL 6 h after exchange transfusion was 11.4 μg/dL. Follow-up 2 years later showed a BLL of 9 μg/dL and normal development. We present the details of a case of congenital lead poisoning treated aggressively which appears to have resulted in a favorable outcome.