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{
    "pk": 1442,
    "title": "Lithium Toxicity: A Case Report of Toxicity Resulting in a Third-degree Heart Block",
    "subtitle": null,
    "abstract": "<b>Introduction: </b>Lithium is a medication used to treat bipolar disorder. It has a narrow therapeutic index, which frequently causes toxicity in patients.<p></p><p><b><b>Case Report: </b></b>We present an unusual case of a 66-year-old female with a history of bipolar disorder on chronic lithium, who developed a third-degree heart block, encephalopathy, and acute renal failure because of lithium toxicity.</p><p></p><p><b><b><b>Conclusion:</b> </b></b>This case highlights a rare but life-threatening case of complete heart block in the setting of lithium toxicity. The patient was treated with hemodialysis and pacemaker placement.</p>",
    "language": "eng",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "case report"
        },
        {
            "word": "lithium toxicity"
        },
        {
            "word": "heart block"
        },
        {
            "word": "therapeutic index"
        },
        {
            "word": "hemodialysis"
        },
        {
            "word": "pacemaker replacement"
        }
    ],
    "section": "Case Reports",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/7zm5g01c",
    "frozenauthors": [
        {
            "first_name": "Samantha",
            "middle_name": "L.",
            "last_name": "Gaetani",
            "name_suffix": "",
            "institution": "Lehigh Valley Health Network/University of South Florida Morsani College of Medicine, Department of Emergency and Hospital Medicine, Allentown, Pennsylvania",
            "department": "Department of Emergency and Hospital Medicine"
        },
        {
            "first_name": "Alexandra",
            "middle_name": "M.",
            "last_name": "Amaducci",
            "name_suffix": "",
            "institution": "Lehigh Valley Health Network/University of South Florida Morsani College of Medicine, Department of Emergency and Hospital Medicine, Division of Medical Toxicology, Allentown, Pennsylvania",
            "department": "Department of Emergency and Hospital Medicine"
        },
        {
            "first_name": "Derek",
            "middle_name": "",
            "last_name": "Fikse",
            "name_suffix": "",
            "institution": "Lehigh Valley Health Network/University of South Florida Morsani College of Medicine, Department of Emergency and Hospital Medicine, Division of Medical Toxicology, Allentown, Pennsylvania",
            "department": "Department of Emergency and Hospital Medicine"
        },
        {
            "first_name": "Andrew",
            "middle_name": "L.",
            "last_name": "Koons",
            "name_suffix": "",
            "institution": "Lehigh Valley Health Network/University of South Florida Morsani College of Medicine, Department of Emergency and Hospital Medicine, Division of Medical Toxicology, Allentown, Pennsylvania",
            "department": "Department of Emergency and Hospital Medicine"
        }
    ],
    "date_submitted": "2023-06-16T14:05:12.727000Z",
    "date_accepted": "2023-09-29T20:31:01.089000Z",
    "date_published": "2024-01-23T14:00:00Z",
    "render_galley": {
        "label": "Final Article",
        "type": "pdf",
        "path": "https://journalpub.escholarship.org/uciem_cpcem/article/1442/galley/4320/download/"
    },
    "galleys": [
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        {
            "label": "Final Article",
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            "path": "https://journalpub.escholarship.org/uciem_cpcem/article/1442/galley/4320/download/"
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}