Document Detail

Lethargy in a newborn: lithium toxicity or lab error?
MedLine Citation:
PMID:  12951892     Owner:  NLM     Status:  MEDLINE    
Lithium medication during pregnancy is uncommon and the problems of a neonate who has been exposed to lithium represents a rare situation in neonatology. The clinical presentation and management of a newborn whose mother received lithium during pregnancy is presented. The newborn manifested a four day course of lethargy with unexplained high lithium levels in the adult toxic range. The infant improved clinically under intravenous hydration therapy, nevertheless lithium serum levels increased again and we did not know for certain if our clinical instinct or the actual figures were correct. Finally we noticed that our confusion had resulted from test tubes containing lithium heparine.
Andreas Malzacher; Hanna Engler; Gero Drack; Christian Kind
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of perinatal medicine     Volume:  31     ISSN:  0300-5577     ISO Abbreviation:  J Perinat Med     Publication Date:  2003  
Date Detail:
Created Date:  2003-09-03     Completed Date:  2003-12-11     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0361031     Medline TA:  J Perinat Med     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  340-2     Citation Subset:  IM    
Division of Neonatology, Ostschweizer Kinderspital, St. Gallen, Switzerland.
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MeSH Terms
Bipolar Disorder / drug therapy*
Infant, Newborn
Infant, Newborn, Diseases / blood,  chemically induced*
Lithium / administration & dosage,  blood,  poisoning*
Muscle Hypotonia / blood,  chemically induced*
Pregnancy Complications / drug therapy*
Prenatal Exposure Delayed Effects*
Sleep Stages
Reg. No./Substance:

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