A true dialytic urgency: lithium intoxication

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Carta de presentación


chronic kidney disease
fatal outcome
urinary bladder diseases.

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Montoya Castillo M, Giraldo-Hinestroza T, Osorio Ospina F, Echeverri Díaz DC, Rico - Mesa MA, Restrepo CA, Rico-Mesa JS. A true dialytic urgency: lithium intoxication. Rev. Colomb. Nefrol. [Internet]. 2018 Aug. 9 [cited 2021 Dec. 7];5(2):190-4. Available from: https://www.revistanefrologia.org/index.php/rcn/article/view/310


Lithium carbonate is a drug widely used in Colombia for the treatment of various psychiatric pathologies such as treatment in patients with bipolar affective disorder, however its narrow therapeutic index predisposes to the occurrence of acute poisoning, unlikely to happen but could be fatal.
It should be said that its diagnosis requires a high rate of suspicion because it presents various clinical manifestations such as neuropsychiatric symptoms and even mental disorders of an organic type that can be complicated by an acute kidney injury requiring emergency dialysis therapy.
We report the case of a patient who presented to the emergency department with alteration in the state of consciousness in whom lithium poisoning was found and who required hemodialysis in an early stage. In conclusion, in a patient with risk factor and therapy with this drug is very important to guide appropriate treatment, and also discard differential diagnosis, in order to avoid fatal consequences.


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