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Lithium intoxication in the pre-hospital care with stroke symptoms - Case report

D. Peran, K. Pukovcova, J. Pekara, M. Nesvadba, V. Nedved, PC. Cmorej, P. Bohm, A. Mamova,

. 2019 ; 40 (1) : 17-21. [pub] -

Jazyk angličtina Země Švédsko

Typ dokumentu kazuistiky, časopisecké články

Perzistentní odkaz   https://www.medvik.cz/link/bmc20022880

Lithium is widely used in psychiatry to treat bipolar affective disorders since 1970 but little is known about the incidence, clinical course and associated factors of acute lithium intoxication. Moderate and severe cases of lithium intoxication are rare. This case reports a patient with acute lithium intoxication (serum level of 3.7 mmol/L) with neurological symptoms imitating stroke, which affects the differential diagnosis in the pre-hospital and hospital care. Patient was treated with forced diuresis and dismissed 21 days after admission.

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$a Lithium is widely used in psychiatry to treat bipolar affective disorders since 1970 but little is known about the incidence, clinical course and associated factors of acute lithium intoxication. Moderate and severe cases of lithium intoxication are rare. This case reports a patient with acute lithium intoxication (serum level of 3.7 mmol/L) with neurological symptoms imitating stroke, which affects the differential diagnosis in the pre-hospital and hospital care. Patient was treated with forced diuresis and dismissed 21 days after admission.
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$a Pukovcová, Klára, $u Faculty of Biomedical Engineering, Czech Technical University in Prague, Kladno, Czech Republic. $d 1994- $7 xx0268025
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$a Pekara, Jaroslav $u Prague Emergency Medical Services, Prague, Czech Republic.
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$a Nesvadba, Marcel $u St. Elisabeth University, Bratislava, Slovakia.
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$a Nedved, Vladimir $u Prague Emergency Medical Services, Prague, Czech Republic.
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$a Cmorej, Patrik Christian $u Emergency Medical Services of Usti nad Labem region, Czech Republic.
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$a Bohm, Pavel $u Faculty of Biomedical Engineering, Czech Technical University in Prague, Kladno, Czech Republic.
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$a Mamova, Alexandra $u Tropical Institute of St. Elisabeth University, Bratislava, Slovakia.
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