Continuous venovenous hemodialysis in the treatment of acute lithium intoxication
DOI:
https://doi.org/10.22491/2357-9730.125423Keywords:
Acute lithium intoxication, lithium, continuous venovenous hemodialysisAbstract
Our objective is to report a case of acute lithium carbonate self-poisoning. The patient presented with severe neuro logical and cardiovascular manifestations of lithium toxicity and with high serum lithium levels (8.0 mEq/l). Six hours after the first hemodialysis session, the patient evolved to a status of generalized tonic-clonic seizures (serum lithium 4.7 mEq/l). Seizures persisted for 4 days and with serum lithium varying from 2.5- 4.7 mEq/l until continuous venovenous hemodialysis was initiated. After 18 hours, serum lithium levels returned to normal (0.9 mmol/l) and the patient regained normal neurological function. We concluded that continuous venovenous hemodialysis can be a successful alternative for the treatment of acute lithium intoxication.
Downloads
Downloads
Published
How to Cite
Issue
Section
License
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).
