Severe exercise-associated hyponatremia on the Kokoda Trail, Papua New Guinea
| Autor: | David Rosengren, Sean Rothwell |
|---|---|
| Rok vydání: | 2008 |
| Předmět: |
Adult
Male medicine.medical_specialty Serum sodium level Fluid intake Papua New Guinea Exercise-associated hyponatremia medicine Severe exercise Humans Water intoxication Intensive care medicine Exercise business.industry Sodium Public Health Environmental and Occupational Health nutritional and metabolic diseases New guinea Water-Electrolyte Balance medicine.disease Emergency medicine Emergency Medicine Physical Endurance business Complication Hyponatremia |
| Zdroj: | Wildernessenvironmental medicine. 19(1) |
| ISSN: | 1080-6032 |
| Popis: | Exercise-associated hyponatremia is the most common medical complication of ultradistance exercise and is usually caused by excessive hypotonic fluid intake. We report a case of severe hyponatremia in a healthy male trekking the Kokoda Trail in the remote Southern Highlands of Papua New Guinea. A 43-year-old male collapsed and had a generalized seizure in the afternoon of the third day of a guided trek. He was evacuated the following morning and was found to have a serum sodium level of 107 mmol/L on arrival to hospital. The case highlights that a high index of suspicion is required to identify patients with exercise-associated hyponatremia. Early diagnosis and appropriate management is critical to avoid the potentially fatal consequences of severe hyponatremia. The diagnosis and treatment of exercise-associated hyponatremia is particularly challenging in the remote Papua New Guinea jungle. Education of trek leaders, medics, and trekkers in appropriate preventative measures and the rapid treatment of exercise-associated hyponatremia is essential to avoid recurrences of this life-threatening condition. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect