Litarge (Murdar Singh) Ingestion Induced Lead Toxicity: A Case Report.

Background: Litarge (Lead II oxide) is named Murder-sang, Murdar Singh or Mordab-Sangh (MS) in person, is applied to reduce body odor in the axillary and legs. Several other indications were mentioned in ancient medicine such as syphilitic chancre wound healing, bed sore, and so forth. We reported lead intoxication by eating a few MS.Case: A ۳۴-year-old man was visited due to accidentally consuming his wife’s MS powder by adding to his food instead of spices, ۱۰ days earlier. He experienced acute abdominal pain and non-bloody diarrhea ۶ hours after ingestion. His symptoms were finally treated by supportive therapy despite their persisted. Ten days later, his blood lead level was ۱۲۵۰ µg/L. His hemoglobin level reduced and transaminase raised to ۱.۵ times more than the upper limit. He was treated with oral Succimer ۱۰ mg/kg three times a day in the first ۵ days and continued by ۱۰mg/kg twice a day up to ۲۱ days. On the ۵th day of treatment, his symptoms improved. His blood lead level was ۵۴۵.۵ µg/L on the ۸th day of treatment and reduced to ۲۵۴ µg/L and ۲۴۵ µg/L one and two months later.Discussion: Mordab-Sangh could induce lead toxicity if ingested. However, other metal poisoning should be considered in MS ingestion