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Case Reports
. 2016 May 9:24:27.
doi: 10.11604/pamj.2016.24.27.8820. eCollection 2016.

[Role of hemodialysis in the management of acute lithium intoxication]

[Article in French]
Jaouad El Maghraoui  1 , Nadia Kabbali  1 , Mohamed Arrayhani  1 , Tarik Sqalli Houssaini  1
Affiliations
Case Reports

[Role of hemodialysis in the management of acute lithium intoxication]

[Article in French]
Jaouad El Maghraoui et al. Pan Afr Med J. .

Abstract
in English, French

We report the case of a 47-years old patient, traited with lithium for manic-depressive psychosis over a period of twenty and admitted to hospital with a disorder of consciousness after suicide attempt with lithium overdose (ingestion of 30 tablets of Téralithe(®) LP 400, delayed action galenic forms corresponding to 12 g of lithium carbonate), clinically improved after three hemodialysis sessions. This study illustrates the therapeutic role of hemodialysis in voluntary intoxications with extended release lithium even a week after the ingestion and the therapeutic insufficiency of a single hemodialysis session.

Nous rapportons le cas d'un patient âgé de 47 ans, suivi depuis vingt ans pour une psychose maniaco-dépressive sous lithium admis dans un tableau de trouble de conscience après une tentative de suicide au lithium (30 comprimés de Téralithe® LP 400, forme galénique retard correspondant à 12 g de carbonate de lithium), bien amélioré cliniquement après trois séances d'hémodialyse. Cette observation illustre l'intérêt thérapeutique de l'hémodialyse au cours des intoxications volontaires au lithium sous sa forme retard même après une semaine de la prise et l'insuffisance thérapeutique d'une seule séance d'hémodialyse.

Keywords: Manic-depressive psychosis; disorder of consciousness; hemodialysis; lithium intoxication.

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