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Lead Toxicity Risks in Gunshot Victims

Author

Listed:
  • Gabriel Costa Serrão de Araújo
  • Natália Teixeira Mourão
  • Igor Natário Pinheiro
  • Analúcia Rampazzo Xavier
  • Vinicius Schott Gameiro

Abstract

Background: Gunshot wounds require surgeons to decide whether to remove or leave bullet fragments in the body. Surgeons also decide how to follow up with patients who have lead fragments retained in their body. Current literature recommends to remove only intra-articular fragments without the need for a follow-up for patients with the metal retained. Therefore, this study investigates chronic lead toxicity for gunshot wounds. Methods: The study was performed in the metropolitan area of Rio de Janeiro/Brazil, between 2013 and 2015. It was a case-control study that included 45 victims of gunshot lesions with metallic fragments retained for more than 6 months. The 45 controls were matched for gender, age, and race. We compared the lead blood levels and frequency of symptoms. Results: The control group had average blood lead levels of 2.17 μg/dL (95% Confidence Interval [CI]; 1.71–2.63) and median 2.1 μg/dL. The case group had average values of 9.01 μg/dL (CI; 6.07–11.96) and median values of 6.5 μg/dL with p-values

Suggested Citation

  • Gabriel Costa Serrão de Araújo & Natália Teixeira Mourão & Igor Natário Pinheiro & Analúcia Rampazzo Xavier & Vinicius Schott Gameiro, 2015. "Lead Toxicity Risks in Gunshot Victims," PLOS ONE, Public Library of Science, vol. 10(10), pages 1-10, October.
    • Handle: RePEc:plo:pone00:0140220
    DOI: 10.1371/journal.pone.0140220
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