Multifocal neurological impairment caused by infection-induced rise in blood lithium and amitriptyline.

Abstract:

:We present the case of a thirty-eight-year-old woman who developed a febrile illness which was associated with a rise of blood lithium and amitriptyline, and subsequently suffered permanent neurological impairment, implicating CNS dysfunction at several levels. Medical, laboratory, radiological and neuropsychological findings are described, and the attribution of the syndrome is discussed. It is crucial to emphasize that the authors are not challenging the frequently useful combination of lithium and antidepressants. Rather, we urge psychiatrists to be vigilant when such patients develop febrile illnesses.

journal_name

Int J Psychiatry Med

authors

Pheterson AD,Miller L,Fox CF,Estroff TW,Sweeney DR

doi

10.2190/t774-au51-l92t-2ra2

subject

Has Abstract

pub_date

1986-01-01 00:00:00

pages

257-62

issue

3

eissn

0091-2174

issn

1541-3527

journal_volume

16

pub_type

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