{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T11:58:37Z","timestamp":1756382317007,"version":"3.44.0"},"reference-count":12,"publisher":"BMJ","issue":"1","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2021,1,4]]},"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:p>Acute abdominal pain is a common presentation to the emergency department (ED). Ruling out life-threatening causes and giving pain relief are the most important tasks in ED. We describe a 32-year-old man who presented to ED with abdominal pain and vomiting which was unrelieved by usual doses of analgesic. Extensive investigations revealed no significant abnormalities. On further probing, he admitted taking traditional medications for infertility. The toxicological panel revealed a high blood lead level, leading to a diagnosis of acute lead toxicity. Chelation therapy with D-penicillamine was initiated and the patient\u2019s abdominal pain resolved within 4 days.<\/jats:p>","DOI":"10.1136\/bcr-2020-239740","type":"journal-article","created":{"date-parts":[[2021,1,20]],"date-time":"2021-01-20T12:11:44Z","timestamp":1611144704000},"page":"e239740","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":4,"title":["Acute lead poisoning: a diagnostic challenge in the emergency department"],"prefix":"10.1136","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8514-5230","authenticated-orcid":false,"given":"Bharath","family":"Gopinath","sequence":"first","affiliation":[{"name":"Emergency Medicine, All India Institute of Medical Sciences, New Delhi, Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vignan","family":"Kappagantu","sequence":"additional","affiliation":[{"name":"Emergency Medicine, All India Institute of Medical Sciences, New Delhi, Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7047-0399","authenticated-orcid":false,"given":"Roshan","family":"Mathew","sequence":"additional","affiliation":[{"name":"Emergency Medicine, All India Institute of Medical Sciences, New Delhi, Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nayer","family":"Jamshed","sequence":"additional","affiliation":[{"name":"Emergency Medicine, All India Institute of Medical Sciences, New Delhi, Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2021,1,20]]},"reference":[{"key":"2025082802432019000_14.1.e239740.1","doi-asserted-by":"publisher","DOI":"10.2165\/00002018-200225140-00003"},{"key":"2025082802432019000_14.1.e239740.2","first-page":"1074","article-title":"Spasmocanulase in irritable bowel syndrome","volume":"23","author":"Mohamed","year":"2002","journal-title":"Saudi Med J"},{"key":"2025082802432019000_14.1.e239740.3","doi-asserted-by":"crossref","DOI":"10.1136\/bcr-2016-215041","article-title":"Case of acute lead toxicity associated with Ayurvedic supplements","volume":"2016","author":"Breyre","year":"2016","journal-title":"BMJ Case Rep"},{"key":"2025082802432019000_14.1.e239740.4","doi-asserted-by":"crossref","DOI":"10.1186\/s12876-020-01284-1","article-title":"Lead poisoning; a neglected potential diagnosis in abdominal pain","volume":"20","author":"Shabani","year":"2020","journal-title":"BMC Gastroenterol"},{"key":"2025082802432019000_14.1.e239740.5","doi-asserted-by":"publisher","DOI":"10.1080\/15563650.2016.1259474"},{"key":"2025082802432019000_14.1.e239740.6","doi-asserted-by":"crossref","first-page":"327","DOI":"10.1002\/ajim.4700050409","article-title":"Basophilic stippling of red blood cells: a nonspecific finding of multiple etiology","volume":"5","author":"Cheson","year":"1984","journal-title":"Am J Ind Med"},{"key":"2025082802432019000_14.1.e239740.7","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1002\/tre.608","article-title":"Lead poisoning: rare but be aware","volume":"8","author":"Brightman","year":"2017","journal-title":"Trends Urol Men Health"},{"key":"2025082802432019000_14.1.e239740.8","doi-asserted-by":"crossref","first-page":"118","DOI":"10.1159\/000098100","article-title":"Burton's line in lead poisoning","volume":"57","author":"Pearce","year":"2007","journal-title":"Eur Neurol"},{"key":"2025082802432019000_14.1.e239740.9","unstructured":"CDC - Adult Blood Lead Epidemiology and Surveillance (ABLES): Program Description: NIOSH Workplace Safety and Health Topic, 2018. Available: https:\/\/www.cdc.gov\/niosh\/topics\/ables\/description.html [Accessed 22 Sep 2020]."},{"key":"2025082802432019000_14.1.e239740.10","doi-asserted-by":"crossref","first-page":"357","DOI":"10.1007\/s12291-015-0496-y","article-title":"Blood lead level (BLL) in the adult population of Jodhpur: a pilot study","volume":"30","author":"Chambial","year":"2015","journal-title":"Indian J Clin Biochem"},{"key":"2025082802432019000_14.1.e239740.11","doi-asserted-by":"publisher","DOI":"10.1093\/occmed\/46.1.41"},{"key":"2025082802432019000_14.1.e239740.12","doi-asserted-by":"crossref","first-page":"463","DOI":"10.1289\/ehp.9784","article-title":"Recommendations for medical management of adult lead exposure","volume":"115","author":"Kosnett","year":"2007","journal-title":"Environ Health Perspect"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2020-239740","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T09:43:29Z","timestamp":1756374209000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2020-239740"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,1]]},"references-count":12,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2021,1,20]]},"published-print":{"date-parts":[[2021,1]]}},"alternative-id":["10.1136\/bcr-2020-239740"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2020-239740","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2021,1]]}}}