A Case Report of Lithium Overdose and Delayed Severe Neurotoxicity: Time to Recomence Lithium and to Think of Renal Replacement Therapy
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Abstract
In this case report, a female in her 60s presented to a tertiary care hospital with lithium toxicity. 24 hour monitoring was done, nephrology team opinion was obtained and patient was put on renal replacement therapy. Patient was started on lithium again, once the lithium levels fell within the normal therapeutic range ( between 4.7mEq/L and 0.67 mEq/L ). In this particular instance, patient devoloped slurring of speech followed by catatonia a little later. This case report is meant to discuss the factors that predispose the respective group of patients to neurotoxicity.
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