Multiple Causes of Hyponatremia: A Case Report
| Autor: | Branka Kovacev-Zavisic, Bojan Vukovic, Milica Medic-Stojanoska, Ivanka Percic, Tijana Icin, Vladimir Kuzmanovic, Tatjana Ilic |
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| Rok vydání: | 2017 |
| Předmět: |
Adult
Male medicine.medical_specialty Nausea medicine.drug_class Antibiotics Alcohol abuse Case Report 030209 endocrinology & metabolism 03 medical and health sciences Glomerulonephritis 0302 clinical medicine Seizures Streptococcal Infections medicine Humans 030212 general & internal medicine Coma Intensive care medicine business.industry Sodium nutritional and metabolic diseases Symptomatic seizures General Medicine medicine.disease Diarrhea Anesthesia Vomiting medicine.symptom business Hyponatremia |
| Zdroj: | Medical Principles and Practice. 26:292-295 |
| ISSN: | 1423-0151 1011-7571 |
| DOI: | 10.1159/000468938 |
| Popis: | Objective: To present a case with 4 different potential causes of hyponatremia. Clinical Presentation and Intervention: The patient presented with the following symptoms: nausea, vomiting, diarrhea, and dark urine after drinking large amounts of fluids that included alcohol and caffeine. Laboratory, microbiological, and morphological examinations revealed the existence of severe hyponatremia and acute poststreptococcal glomerulonephritis. The patient developed acute symptomatic seizures and coma. Gradual normalization of the sodium level led to a recovery of consciousness. Conclusion: Treatment with hypertonic sodium, fluid restriction, and antibiotics led to a complete recovery. In the case of multiple causes of hyponatremia, it is necessary to treat all causes. |
| Databáze: | OpenAIRE |
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