Nohomovich B, Tito E, Terrio M, Belardo M. The use of Tablo continuous veno-venous haemodialysis to rapidly remove lithium in a patient with severe lithium toxicity.
BMJ Case Rep 2023;
16:e253467. [PMID:
37188487 PMCID:
PMC10186455 DOI:
10.1136/bcr-2022-253467]
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Abstract
We report a case of severe, life-threatening lithium toxicity in a patient with bipolar I disorder who presented with altered mental status and acute renal failure. At admission, serum lithium level was well above toxic levels (>2 mEq/L). The signs and symptoms of lithium toxicity significantly improved after treatment with continuous veno-venous haemodialysis (CVVHD). The patient was discharged with no neurological or renal sequelae. Herein is the first case report using the Tablo CVVHD system to treat severe lithium toxicity.
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