Lithium: One Drug, Five Complications

The document detailed a case report of a 60-year-old woman who suffered severe lithium poisoning, resulting in five complications: acute oliguric kidney failure, status epilepticus, medullary aplasia, severe polyneuropathy, and diabetes insipidus. Despite treatment, she retained sequelae such as altered fine motor skills and persistent polyuria, and experienced diffuse alopecia without iron deficiency or thyroid issues. Her lithium level was significantly elevated at 8.21 mmol/l, far above the therapeutic range. The case highlighted the broad spectrum of potential complications from lithium poisoning and emphasized the importance of monitoring lithium levels and managing seizures in affected patients.