The Egyptian Journal of Internal Medicine

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

Treating double-digit hyponatremia: walking a tight rope


Manjunath Kulkarni1, Prashanth Kadri1, Raghavendra Bakki Sannegowda2, Maria Bethsaida1, Nikhil D'Souza1 
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

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.


How to cite this article:
Kulkarni M, Kadri P, Sannegowda RB, Bethsaida M, D'Souza N. Treating double-digit hyponatremia: walking a tight rope.Egypt J Intern Med 2015;27:121-122


How to cite this URL:
Kulkarni M, Kadri P, Sannegowda RB, Bethsaida M, D'Souza N. Treating double-digit hyponatremia: walking a tight rope. Egypt J Intern Med [serial online] 2015 [cited 2020 Dec 3 ];27:121-122
Available from: http://www.esim.eg.net/article.asp?issn=1110-7782;year=2015;volume=27;issue=3;spage=121;epage=122;aulast=Kulkarni;type=0