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J. M. GUERIN; P. BARBOTIN-LARRIEU; C. LUSTMAN
Paris, France

Arch Intern Med. 1990;150(4):920.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.—In a recent article, Simard et al¹ described a case of subacute intoxication with a therapeutic dose of lithium carbonate and reviewed the literature.

Report of a Case. —A 41-year-old woman was treated with carbonate lithium (750 mg/d) for a chronic manic-depressive illness. In February 1989 she attempted suicide by acute ingestion of lithium carbonate, lorazepam, and maprotiline. On admission, physical examination revealed a lethargic woman with myoclonus, vomiting, and profuse diarrhea. The heart rate was 75 beats per minute, and the blood pressure was 105/65 mm Hg. An electrocardiogram showed a sinus rhythm with inverted T waves. She was intubated, received mechanical ventilation, and gastric lavage with 20 L of saline solution was done. Two hours later, her blood pressure dropped to 80/54 mm Hg, and her electrocardiogram revealed a junctional rhythm at 45 per minute, with a left bundle-branch block. The rhythm was not . . . [Full Text PDF of this Article]

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