title: [Development of sustained vasodilatory shock and permanent loss of hearing after severe lithium carbonate poisoning].
abstract: A case of severe lithium carbonate self-poisoning is described, presenting with sustained vasodilatory shock, DIC and neurologic manifestations. Lengthy and repeated haemodialysis was required to lower lithemia to non-toxic levels in accordance with which the haemodynamic instability and multi organ dysfunction ceased. The patient survived with marked loss of hearing, tinnitus and vertigo as the only sequelae. We discuss the mechanism of lithium's inhibitory effect on the phosphoinositide cascade as the possible explanation for the vasodilatory shock as well as the hearing deficiency.
authors.affiliation: Burmeistersgade 21, 3. tv., DK-1429 København K. ullaplenge@yahoo.dk.
authors.forename: Ulla
authors.initials: U
authors.lastname: Plenge
authors.forename: Ann M
authors.initials: AM
authors.lastname: Møller
mesh_terms: D018692:Antimanic Agents / Q000506:poisoning*; D001714:Bipolar Disorder / Q000188:drug therapy; D034381:Hearing Loss / Q000139:chemically induced*; D006801:Humans; D016651:Lithium Carbonate / Q000506:poisoning*; D008297:Male; D008875:Middle Aged; D012769:Shock / Q000139:chemically induced*; D014012:Tinnitus / Q000139:chemically induced
chemical_list: D018692:Antimanic Agents; D016651:Lithium Carbonate