The ‘SILENT Alarm’: When History Taking Reveals a Potentially Fatal Toxicity
Introduction: The combination of acute/sub-acute neurological and metabolic derangements should always raise the suspicion of toxicity, either endogenous or exogenous. The adverse effects of psychiatric medications are especially difficult to determine since the psychiatric background of patients is...
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doaj-f2fba4eb34c3420d9a5a46aa2ca9794a2020-11-25T02:49:14ZengSMC MEDIA SRLEuropean Journal of Case Reports in Internal Medicine2284-25942018-03-015610.12890/2018_000843843The ‘SILENT Alarm’: When History Taking Reveals a Potentially Fatal ToxicitySapir Anani0Gal Goldhaber1Yishay Wasserstrum2Amir Dagan3Gad Segal4Internal Medicine ‘T’, Chaim Sheba Medical Center, Tel-Hashomer, Ramat-Gan, Israel, affiliated to the Sackler School of Medicine, Tel-Aviv, IsraelInternal Medicine ‘T’, Chaim Sheba Medical Center, Tel-Hashomer, Ramat-Gan, Israel, affiliated to the Sackler School of Medicine, Tel-Aviv, IsraelInternal Medicine ‘T’, Chaim Sheba Medical Center, Tel-Hashomer, Ramat-Gan, Israel, affiliated to the Sackler School of Medicine, Tel-Aviv, IsraelInternal Medicine ‘T’, Chaim Sheba Medical Center, Tel-Hashomer, Ramat-Gan, Israel, affiliated to the Sackler School of Medicine, Tel-Aviv, IsraelSt. Georges School of Medicine, London, program by the University of Nicosia in the Chaim Sheba Medical Center, Tel-Hashomer, Ramat-Gan, IsraelIntroduction: The combination of acute/sub-acute neurological and metabolic derangements should always raise the suspicion of toxicity, either endogenous or exogenous. The adverse effects of psychiatric medications are especially difficult to determine since the psychiatric background of patients is often inaccessible. Clinical Presentation: A 66-year-old man presented to the emergency department with dysarthria and uncontrolled tremor, rapidly deteriorating into a complex of severe neurological and metabolic derangements. Only after repeated attempts to take a thorough history was lithium toxicity identified. Conclusion: Thorough, comprehensive history taking, including chronic medications and their substitutes, is essential and lifesaving when potentially lethal medications are involved.https://www.ejcrim.com/index.php/EJCRIM/article/view/843LithiumSILENT syndromehistory takingbipolar disorderdrug toxicity |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Sapir Anani Gal Goldhaber Yishay Wasserstrum Amir Dagan Gad Segal |
spellingShingle |
Sapir Anani Gal Goldhaber Yishay Wasserstrum Amir Dagan Gad Segal The ‘SILENT Alarm’: When History Taking Reveals a Potentially Fatal Toxicity European Journal of Case Reports in Internal Medicine Lithium SILENT syndrome history taking bipolar disorder drug toxicity |
author_facet |
Sapir Anani Gal Goldhaber Yishay Wasserstrum Amir Dagan Gad Segal |
author_sort |
Sapir Anani |
title |
The ‘SILENT Alarm’: When History Taking Reveals a Potentially Fatal Toxicity |
title_short |
The ‘SILENT Alarm’: When History Taking Reveals a Potentially Fatal Toxicity |
title_full |
The ‘SILENT Alarm’: When History Taking Reveals a Potentially Fatal Toxicity |
title_fullStr |
The ‘SILENT Alarm’: When History Taking Reveals a Potentially Fatal Toxicity |
title_full_unstemmed |
The ‘SILENT Alarm’: When History Taking Reveals a Potentially Fatal Toxicity |
title_sort |
‘silent alarm’: when history taking reveals a potentially fatal toxicity |
publisher |
SMC MEDIA SRL |
series |
European Journal of Case Reports in Internal Medicine |
issn |
2284-2594 |
publishDate |
2018-03-01 |
description |
Introduction: The combination of acute/sub-acute neurological and metabolic derangements should always raise the suspicion of toxicity, either endogenous or exogenous. The adverse effects of psychiatric medications are especially difficult to determine since the psychiatric background of patients is often inaccessible.
Clinical Presentation: A 66-year-old man presented to the emergency department with dysarthria and uncontrolled tremor, rapidly deteriorating into a complex of severe neurological and metabolic derangements. Only after repeated attempts to take a thorough history was lithium toxicity identified.
Conclusion: Thorough, comprehensive history taking, including chronic medications and their substitutes, is essential and lifesaving when potentially lethal medications are involved. |
topic |
Lithium SILENT syndrome history taking bipolar disorder drug toxicity |
url |
https://www.ejcrim.com/index.php/EJCRIM/article/view/843 |
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