23-year Follow-Up: Maternal-fetal Lead Toxicity from a Retained Bullet

The purpose of this report is to provide an update to the prior one. At term, a mother experienced pre-eclampsia and gave birth to a baby with multiple congenital defects, which were most likely caused by the mother’s high blood lead level. This was due to a gunshot that had been stuck in the fourth lumbar vertebra for 15 years. It increased from 31 to 85 micrograms per deciliter throughout the third trimester. The infant’s cardio-vascular birth abnormalities were surgically fixed, and she received multiple rounds of chelation, lowering her blood lead level to undetectable levels. Her other congenital problems were cured, she graduated from high school, and she is in good health.

Author (S) Details

Raymond, Lawrence William
Employer Solutions Division, Atrium Health, 4135 South Stream Blvd., Charlotte, North Carolina 28217, USA and University of North Carolina at Chapel Hill, USA.

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