[Hyponatremia: an unusual case report]

Praxis (Bern 1994). 2003 Oct 8;92(41):1727-32. doi: 10.1024/0369-8394.92.41.1727.
[Article in French]

Abstract

Hyponatremia is a frequent finding and asks for a rapid diagnostic evaluation. We report a case of recurrent hyponatremia secondary to an adrenal insufficiency of medicamentous and tuberculous origin. This case illustrates the importance of a rapid etiologic diagnosis of hyponatremia and allows us to review adrenal insufficiency of tuberculous origin. It also stresses the danger of potential drug interactions in case of corticosteroid substitution.

Publication types

  • Case Reports
  • Comparative Study

MeSH terms

  • Addison Disease / complications
  • Addison Disease / diagnosis
  • Adrenal Insufficiency / complications*
  • Adrenal Insufficiency / diagnosis
  • Adult
  • Anti-Inflammatory Agents / administration & dosage
  • Anti-Inflammatory Agents / pharmacology
  • Anti-Inflammatory Agents / therapeutic use
  • Anti-Ulcer Agents / administration & dosage
  • Anti-Ulcer Agents / pharmacology
  • Anti-Ulcer Agents / therapeutic use
  • Antitubercular Agents / administration & dosage
  • Antitubercular Agents / pharmacology
  • Antitubercular Agents / therapeutic use
  • Diagnosis, Differential
  • Drug Interactions
  • Elbow Joint*
  • Enzyme Inhibitors / administration & dosage
  • Enzyme Inhibitors / pharmacology
  • Enzyme Inhibitors / therapeutic use
  • Helicobacter Infections / diagnosis
  • Helicobacter Infections / drug therapy
  • Helicobacter pylori
  • Humans
  • Hydrocortisone / administration & dosage
  • Hydrocortisone / pharmacology
  • Hydrocortisone / therapeutic use
  • Hyponatremia / diagnosis
  • Hyponatremia / etiology*
  • Male
  • Omeprazole / administration & dosage
  • Omeprazole / pharmacology
  • Omeprazole / therapeutic use
  • Proton Pump Inhibitors
  • Time Factors
  • Tuberculosis, Endocrine / complications*
  • Tuberculosis, Endocrine / diagnosis
  • Tuberculosis, Endocrine / drug therapy
  • Tuberculosis, Osteoarticular / complications*
  • Tuberculosis, Osteoarticular / diagnosis
  • Tuberculosis, Osteoarticular / drug therapy
  • Tuberculosis, Pulmonary / complications
  • Tuberculosis, Pulmonary / diagnosis
  • Tuberculosis, Pulmonary / drug therapy

Substances

  • Anti-Inflammatory Agents
  • Anti-Ulcer Agents
  • Antitubercular Agents
  • Enzyme Inhibitors
  • Proton Pump Inhibitors
  • Omeprazole
  • Hydrocortisone