Published online December 1, 2006
PEDIATRICS Vol. 118 No. 6 December 2006, pp. 2548-2551 (doi:10.1542/peds.2006-1733)
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EXPERIENCE & REASON

Acute Brain Herniation From Lead Toxicity

Sheldon Berkowitz, MD, FAAPa and Rod Tarrago, MDb

a Minneapolis Children's Clinic
b Children's Respiratory and Critical Care Specialists, Children's Hospitals and Clinics of Minnesota, Minneapolis, Minnesota

ABSTRACT

A 4-year-old black boy was admitted to the hospital with vomiting, low-grade fever, and dehydration that were thought to be caused by viral gastroenteritis. He proceeded over the next 12 hours to rapidly deteriorate with brain herniation leading to brain death. The ultimate cause of death was found to be acute lead intoxication from a swallowed foreign body.

Key Words: lead levels • brain perfusion

Abbreviations: ED, emergency department • CT, computed tomograph

Accepted Aug 14, 2006.


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