Unrecognized acute lithium toxicity: a case report

作者：Ristic Dragana Ignjatovic^*; Siapera Marianna S; Jovic Jelena; Marjanovic Vesna Stojanovic; Radovanovic Milan; Fountoulakis Konstantinos N

来源：Central European Journal of Medicine, 2012, 7(6): 700-703.

DOI：10.2478/s11536-012-0058-0

• Lithium toxicity
• Dehydration
• Hemodialysis

We report a case of a 63-year-old male who has been admitted to the Emergency department with nonspecific symptoms. Lithium toxicity was not at first recognized. When we obtained sufficient information about previous medication and medical history, we measured lithium levels found to be 1.46 mmol/L. Although the value of lithium was mildly elevated, nephrotoxicity was produced leading to severe renal insufficiency and neurological symptoms. Hemodialysis was started, and we succeed to treat the patient without squeals. This case illustrates some of the factors that lead to lithium toxicity as well as the need to consider lithium toxicity to the differential diagnosis of a patient presenting with renal insufficiency with or without change in mental status and neurologic symptom.

• 出版日期2012-12