A Case of Cerebral Salt Wasting Syndrome Associated with Tuberculous Meningitis / 결핵및호흡기질환
Tuberculosis and Respiratory Diseases
; : 306-310, 2005.
Article
em Ko
| WPRIM
| ID: wpr-25282
Biblioteca responsável:
WPRO
ABSTRACT
Hyponatremia which is due to excessive sodium loss in the urine and decrease in extracellular fluid volume following an acute or chronic central nervous system injury, has been conjunctively described as cerebral salt wasting syndrome (CSWS). This syndrome is often confused with dilutional hyponatremia due to inappropriate secretion of antidiuretic hormone. Accurate diagnosis and management are mandatory for improvement of the course of the disease. This report describes a case of a 31-year-old male patient with CSWS associated with tuberculous meningitis. The patient exhibited hyponatremia, polyuria, excessive natriuresis, volume depletion, and hypotension. He was diagnosed to manifest CSWS and was treated by administration of fluids, salt, and fludrocortisone. After the respective treatments, symptoms of polyuria and hypotension were gradually resolved and hyponatremia was corrected.
Palavras-chave
Texto completo:
1
Base de dados:
WPRIM
Assunto principal:
Poliúria
/
Sódio
/
Tuberculose Meníngea
/
Fludrocortisona
/
Sistema Nervoso Central
/
Síndrome de Emaciação
/
Líquido Extracelular
/
Diagnóstico
/
Hiponatremia
/
Hipotensão
Tipo de estudo:
Diagnostic_studies
Limite:
Adult
/
Humans
/
Male
Idioma:
Ko
Revista:
Tuberculosis and Respiratory Diseases
Ano de publicação:
2005
Tipo de documento:
Article
País de publicação:
COREA DEL SUR
/
COREIA DO SUL
/
KR
/
SOUTH KOREA