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Journal of Case Reports
Preventable coma- Lithium induced !
Vasanthi Natarajan1, HS Asha2, Kishore Kumar Behra2, Nihal Thomas2
1Department of Endocrinology, Diabetes and Metabolism, Pondicherry Institute of Medical Sciences, Puducherry; 2Department of Endocrinology, Diabetes and Metabolism, Christian Medical College, Vellore, India.
Corresponding Author:
Dr. Vasanthi Natarajan
Email: vasanthikarthi2004@yahoo.co.in
Received: 20-DEC-2014 Accepted: 29-JAN-2015 Published Online: 20-FEB-2015
DOI: http://dx.doi.org/10.17659/01.2015.0020
Abstract
Lithium is the one of the drugs of choice for manic depressive illness. Lithium practice guidelines should be followed for every patient before initiating them on lithium therapy. Here we report a case of elderly man with manic depressive illness, who was prescribed lithium, lost follow-up and presented with lithium toxicity- hypothyroidism, nephrogenic diabetes insipidus, sinus node dysfunction. He was managed with parenteral levothyroxine under steroid cover, multiple sessions of hemodialysis and improved. This case report emphasizes the importance of lithium practice guidelines and the responsibility of prescriber to prevent such an event.
Keywords : Bipolar Disorder, Lithium, Thyroxine, Hypothyroidism, Renal Dialysis, Genetic Diseases, Humans.
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