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CASE REPORT
Year : 2015  |  Volume : 27  |  Issue : 3  |  Page : 121-122

Treating double-digit hyponatremia: walking a tight rope


1 Department of Nephrology, Father Muller Medical College, Kankanady, Mangalore, Karnataka, India
2 Department of Neurology, Father Muller Medical College, Kankanady, Mangalore, Karnataka, India

Correspondence Address:
Manjunath Kulkarni
Department of Nephrology, Father Muller Medical College, Kankanady, Mangalore, Karnataka
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1110-7782.164644

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We report the case of a diabetic patient who presented with severe hyponatremia (serum sodium concentration of 88 mEq/l) caused by hypovolemia and thiazide diuretic use. His serum sodium levels were gradually corrected using a combination of isotonic and hypotonic fluids based on urine output and rate of rise in sodium levels. The patient had complete recovery without any evidence of osmotic demyelination.


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