Multisystemic Side Effects of an Indispensable Old Drug: A Case Report of Chronic Lithium Use (A Patient with Multiple Side Effects of Lithium)

Presented here is a case of long-term lithium use, with multiple emerging lithium-associated side effects. An 82-year-old woman was brought into the emergency department because of loss of consciousness. According to the physical examination and laboratory analyses, patient was diagnosed with lithiu...

Full description

Saved in:
Bibliographic Details
Main Authors: Levent Demirtas, Emin Murat Akbas, Husnu Degirmenci, Ali Gurel, Eren Duzgun
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Case Reports in Medicine
Online Access:http://dx.doi.org/10.1155/2015/473931
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832552299074945024
author Levent Demirtas
Emin Murat Akbas
Husnu Degirmenci
Ali Gurel
Eren Duzgun
author_facet Levent Demirtas
Emin Murat Akbas
Husnu Degirmenci
Ali Gurel
Eren Duzgun
author_sort Levent Demirtas
collection DOAJ
description Presented here is a case of long-term lithium use, with multiple emerging lithium-associated side effects. An 82-year-old woman was brought into the emergency department because of loss of consciousness. According to the physical examination and laboratory analyses, patient was diagnosed with lithium-associated hypercalcemia, hyperparathyroidism, nephrogenic diabetes insipidus (NDI), symptomatic sinus bradycardia, and thyroid dysfunction. In the literature, there is a limited number of case reports with lithium induced multiple clinical conditions. Multiple clinical manifestations due to the side effects of chronic lithium use might be seen. Health care professionals should keep in mind that lithium-related side effects might trigger or exacerbate each other. To avoid toxicity, close follow-up and clinical supervision are important for the early diagnosis and treatment of these side effects, due to the narrow therapeutic index and obscure clinical signs and symptoms of toxicity.
format Article
id doaj-art-750b36c7859d4ebc963febe9bfacd7eb
institution Kabale University
issn 1687-9627
1687-9635
language English
publishDate 2015-01-01
publisher Wiley
record_format Article
series Case Reports in Medicine
spelling doaj-art-750b36c7859d4ebc963febe9bfacd7eb2025-02-03T05:59:08ZengWileyCase Reports in Medicine1687-96271687-96352015-01-01201510.1155/2015/473931473931Multisystemic Side Effects of an Indispensable Old Drug: A Case Report of Chronic Lithium Use (A Patient with Multiple Side Effects of Lithium)Levent Demirtas0Emin Murat Akbas1Husnu Degirmenci2Ali Gurel3Eren Duzgun4Department of Internal Medicine, School of Medicine, Erzincan University, 24100 Erzincan, TurkeyDepartment of Endocrinology, School of Medicine, Erzincan University, 24100 Erzincan, TurkeyDepartment of Cardiology, School of Medicine, Erzincan University, 24100 Erzincan, TurkeyMengucek Gazi Training and Research Hospital, Department of Nephrology, 24100 Erzincan, TurkeyDepartment of Internal Medicine, School of Medicine, Erzincan University, 24100 Erzincan, TurkeyPresented here is a case of long-term lithium use, with multiple emerging lithium-associated side effects. An 82-year-old woman was brought into the emergency department because of loss of consciousness. According to the physical examination and laboratory analyses, patient was diagnosed with lithium-associated hypercalcemia, hyperparathyroidism, nephrogenic diabetes insipidus (NDI), symptomatic sinus bradycardia, and thyroid dysfunction. In the literature, there is a limited number of case reports with lithium induced multiple clinical conditions. Multiple clinical manifestations due to the side effects of chronic lithium use might be seen. Health care professionals should keep in mind that lithium-related side effects might trigger or exacerbate each other. To avoid toxicity, close follow-up and clinical supervision are important for the early diagnosis and treatment of these side effects, due to the narrow therapeutic index and obscure clinical signs and symptoms of toxicity.http://dx.doi.org/10.1155/2015/473931
spellingShingle Levent Demirtas
Emin Murat Akbas
Husnu Degirmenci
Ali Gurel
Eren Duzgun
Multisystemic Side Effects of an Indispensable Old Drug: A Case Report of Chronic Lithium Use (A Patient with Multiple Side Effects of Lithium)
Case Reports in Medicine
title Multisystemic Side Effects of an Indispensable Old Drug: A Case Report of Chronic Lithium Use (A Patient with Multiple Side Effects of Lithium)
title_full Multisystemic Side Effects of an Indispensable Old Drug: A Case Report of Chronic Lithium Use (A Patient with Multiple Side Effects of Lithium)
title_fullStr Multisystemic Side Effects of an Indispensable Old Drug: A Case Report of Chronic Lithium Use (A Patient with Multiple Side Effects of Lithium)
title_full_unstemmed Multisystemic Side Effects of an Indispensable Old Drug: A Case Report of Chronic Lithium Use (A Patient with Multiple Side Effects of Lithium)
title_short Multisystemic Side Effects of an Indispensable Old Drug: A Case Report of Chronic Lithium Use (A Patient with Multiple Side Effects of Lithium)
title_sort multisystemic side effects of an indispensable old drug a case report of chronic lithium use a patient with multiple side effects of lithium
url http://dx.doi.org/10.1155/2015/473931
work_keys_str_mv AT leventdemirtas multisystemicsideeffectsofanindispensableolddrugacasereportofchroniclithiumuseapatientwithmultiplesideeffectsoflithium
AT eminmuratakbas multisystemicsideeffectsofanindispensableolddrugacasereportofchroniclithiumuseapatientwithmultiplesideeffectsoflithium
AT husnudegirmenci multisystemicsideeffectsofanindispensableolddrugacasereportofchroniclithiumuseapatientwithmultiplesideeffectsoflithium
AT aligurel multisystemicsideeffectsofanindispensableolddrugacasereportofchroniclithiumuseapatientwithmultiplesideeffectsoflithium
AT erenduzgun multisystemicsideeffectsofanindispensableolddrugacasereportofchroniclithiumuseapatientwithmultiplesideeffectsoflithium