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The infant had a breathy cry, cough, and perioral cyanosis with feedings. The 5 family members exhibited a combination of gastrointestinal (diarrhea [4 persons], nausea/vomiting [3 persons], metallic taste [1 person]), cardiologic (heart rhythm disturbances [2 persons]), systemic (fatigue [5 persons], itching [3 persons], dizziness (1 person]), and neurologic manifestations (myalgia [3 persons], peripheral paresthesia [3 persons], perioral numbness [2 persons], and reversal of hot and cold sensations [3 persons], which is pathognomonic of ciguatera poisoning). Other complications caused by lip piercing, such as lip inflammation, localized tissue overgrowth (17) and metallic stud of a jewel that was embedded into the lip, (21) have also been reported, as well as several cases of pathologic conditions caused by oral and perioral piercings, such as bacterial infections, edema and allergies (particularly to nickel). |
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