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Inflammatory low back pain with radiculopathy revealing epidural disintegration of a bullet complicated by lead poisoning
- Source :
- RMD Open, Vol 9, Iss 4 (2023)
- Publication Year :
- 2023
- Publisher :
- BMJ Publishing Group, 2023.
-
Abstract
- Inflammatory low back pain with radiculopathy is suggestive of cancer, infection or inflammatory diseases. We report a unique case of a 42-year-old patient with an acute inflammatory low back pain with bilateral radiculopathy associated with weight loss and abdominal pain, revealing the disintegration of a lead bullet along the epidural space and the S1 nerve root complicated by lead poisoning. Because of the high blood lead level of intoxication (>10 times over the usual lead levels) and the failure of repeated lead chelator cycles, a surgical treatment to remove bullet fragments was performed. It resulted in a significant decrease of pain and lead intoxication.
- Subjects :
- Medicine
Subjects
Details
- Language :
- English
- ISSN :
- 20565933
- Volume :
- 9
- Issue :
- 4
- Database :
- Directory of Open Access Journals
- Journal :
- RMD Open
- Publication Type :
- Academic Journal
- Accession number :
- edsdoj.2bcb9d3ae7c64c939e0b3bbdbd0655a7
- Document Type :
- article
- Full Text :
- https://doi.org/10.1136/rmdopen-2023-003119