• Keywords
• pracovní právo,
• MeSH
• Electronic Waste * economics   MeSH
• Occupational Health MeSH
• Environmental Pollutants adverse effects   MeSH
• Humans MeSH
• Hazardous Waste MeSH
• Equipment Reuse MeSH
• Lead Poisoning prevention & control   MeSH
• Occupational Exposure adverse effects   MeSH
• Recycling * MeSH
• Risk Management MeSH
• Legislation as Topic MeSH
• Check Tag
• Humans MeSH

• MeSH
• Anemia * etiology   MeSH
• Anemia, Hemolytic * etiology   MeSH
• Communicable Diseases complications   MeSH
• Humans MeSH
• Lead Poisoning complications   MeSH
• Poisoning complications   MeSH
• Check Tag
• Humans MeSH
• Publication type
• Review MeSH

• MeSH
• Anemia etiology   physiopathology   MeSH
• Humans MeSH
• Lead Poisoning complications   physiopathology   MeSH
• Porphyrias complications   physiopathology   MeSH
• Anemia, Sideroblastic * etiology   therapy   MeSH
• Check Tag
• Humans MeSH
• Publication type
• Review MeSH

• MeSH
• Child MeSH
• Adult MeSH
• Humans MeSH
• Lead Poisoning, Nervous System, Adult etiology   pathology   MeSH
• Lead Poisoning, Nervous System, Childhood etiology   pathology   MeSH
• Lead Poisoning, Nervous System etiology   pathology   MeSH
• Lead Poisoning * history   etiology   pathology   MeSH
• Health Promotion MeSH
• Check Tag
• Child MeSH
• Adult MeSH
• Humans MeSH

• Keywords
• olověné diabolky,
• MeSH
• Foreign Bodies diagnostic imaging   complications   MeSH
• Humans MeSH
• Lead analysis   MeSH
• Lead Poisoning * diagnosis   etiology   MeSH
• Child, Preschool MeSH
• Foreign-Body Reaction MeSH
• Treatment Outcome MeSH
• Check Tag
• Humans MeSH
• Male MeSH
• Child, Preschool MeSH
• Publication type
• Case Reports MeSH

Chronická otrava olovom predstavuje zriedkavú formu sekundárnej koproporfýrie. Samotné porfýrie patria do skupiny vzácnych metabolických ochorení, spôsobených vrodeným enzymatickým defektom alebo získanou poruchou syntézy hému. Olovo má inhibičný vplyv na enzýmy podieľajúce sa na syntéze hému. Všetky úvodné symptómy pri chronickej intoxikácii olovom sú nešpecifické a ľahko prehliadnuteľné. Ťažké chronické otravy môžu byť sprevádzané poškodením nervového systému. Naša kazuistika prezentuje prípad pacienta s atypickým klinickým vzorcom delíria pri nadužívaní alkoholu s neuropsychiatrickými a internými komplikáciami. Prácou chceme poukázať na dôležitosť anamnézy a komplexného vyšetrenia pacienta pri širokej škále príznakov, ktoré vyžadujú multiodborový prístup.

Chronic lead poisoning is a rare form of secondary coproporphyria. Porphyrias belong to the group of rare metabolic diseases caused by a congenital enzymatic defect or an acquired disorder of heme synthesis. Lead has an inhibitory effect on enzymes involved in heme synthesis. All initial symptoms of chronic poisoning are non-specific and easily overlooked. Severe chronic poisoning may be accompanied by damage to the nervous system. We report a case of a patient with an atypical clinical pattern of delirium in alcohol overuse with neuropsychiatric and internal complications. The aim of the paper is to highlight the importance of detailed history and comprehensive evaluation of a patient with a wide range of symptoms, requiring a multidisciplinary approach.

• MeSH
• Alcohol Withdrawal Delirium complications   MeSH
• Diagnosis, Differential MeSH
• Adult MeSH
• Heme MeSH
• Quadriplegia MeSH
• Humans MeSH
• Interdisciplinary Communication MeSH
• Occupational Diseases MeSH
• Lead Poisoning * diagnosis   MeSH
• Polyneuropathies MeSH
• Porphyrias MeSH
• Check Tag
• Adult MeSH
• Humans MeSH
• Male MeSH
• Publication type
• Case Reports MeSH

The presented case demonstrates that acute lead poisoning may occur due to just short-term exposure to a mixture of lead-containing dust and ammunition. Such exposure may result in high blood lead levels persisting for years in the absence of any symptoms. A middle-aged male with a history of an approximately 7-day cleanup of an old recreational firing range with large ammunition and dust deposits presented to an emergency department with abdominal pain, dyspnea, fatigue and impaired cognitive function. Given his occupational history, specific tests were performed that showed high lead concentrations in both blood and urine. The patient was diagnosed with acute lead poisoning. He was started on chelation therapy that improved both clinical and laboratory parameters. Over a subsequent nearly 3-year follow-up, the patient's blood lead levels fluctuated and continued to be increased. Given the absence of other sources of lead exposure, these were likely due to the formation of bone deposits. Med Pr. 2020;71(3):375-9.

• MeSH
• Acute Disease MeSH
• Abdominal Pain chemically induced   MeSH
• Chelating Agents therapeutic use   MeSH
• Middle Aged MeSH
• Humans MeSH
• Lead Poisoning diagnosis   drug therapy   MeSH
• Workplace MeSH
• Occupational Exposure adverse effects   MeSH
• Firearms * MeSH
• Treatment Outcome MeSH
• Air Pollution, Indoor adverse effects   MeSH
• Check Tag
• Middle Aged MeSH
• Humans MeSH
• Male MeSH
• Publication type
• Case Reports MeSH
• Geographicals
• Poland MeSH

• MeSH
• Anemia chemically induced   MeSH
• Antidotes administration & dosage   MeSH
• Abdominal Pain chemically induced   MeSH
• Chelating Agents administration & dosage   therapeutic use   MeSH
• Diagnosis, Differential MeSH
• Middle Aged MeSH
• Humans MeSH
• Lead analysis   blood   MeSH
• Lead Poisoning * diagnosis   etiology   drug therapy   MeSH
• Constipation chemically induced   MeSH
• Check Tag
• Middle Aged MeSH
• Humans MeSH
• Male MeSH
• Publication type
• Case Reports MeSH

Preventive measures in Central Europe were successful in suppressing both occupational and environmental lead exposure so that they did not constitute a severe public health problem. However, rare lead intoxications still appear. We report on lead intoxication in four family members where the source was removed lead ceiling paint. The symptoms of the lead intoxication started several weeks after removal and the inhalational exposure to the minimum dust residues lasted for more than three months before the poisoning was diagnosed. Father developed anaemia and saturnine colics. He and his two daughters received antidotal treatment which had to be repeated in the children. Finally, all recovered completely.Lead intoxication may be easily overlooked due to the unspecific symptoms. It is necessary to think of this rare poisoning which may be caused by old paints, historical ceramics and lead shots, in addition to commercial products imported from abroad.

• MeSH
• Housing * MeSH
• Adult MeSH
• Infant MeSH
• Humans MeSH
• Paint analysis   MeSH
• Lead Poisoning etiology   therapy   MeSH
• Child, Preschool MeSH
• Dogs MeSH
• Environmental Exposure analysis   MeSH
• Animals MeSH
• Check Tag
• Adult MeSH
• Infant MeSH
• Humans MeSH
• Male MeSH
• Child, Preschool MeSH
• Dogs MeSH
• Female MeSH
• Animals MeSH
• Publication type
• Journal Article MeSH
• Case Reports MeSH
• Research Support, Non-U.S. Gov't MeSH
• Geographicals
• Czech Republic MeSH

• MeSH
• Urinalysis MeSH
• Blood Chemical Analysis MeSH
• Humans MeSH
• Lead MeSH
• Lead Poisoning * diagnosis   pathology   prevention & control   therapy   MeSH
• Signs and Symptoms MeSH
• Check Tag
• Humans MeSH
• Publication type
• Comment MeSH
• Introductory Journal Article MeSH