Case Studies: Hyponatremia
Recent case studies deal with treatment of hyponatremia in a young women diagnosed with tuberculous meningitis and in a pregnant women.
In a case study published in Gynecological Endocrinology, a 25-year-old pregnant women was diagnosed with hypervolemic hyponatremia after presenting with hypertension, proteinuria, severe hyponatremia, and signs of edema. Labor was induced, and hyponatremia was treated with water restriction. The authors of the case study note that the cause of pre-eclampsia-associated hyopnatremia is unknown.
In a second case study, published in BMJ Case Reports, a 21-year-old women reported headache, fever, mood disturbance, and nausea. After a positive screening purified protein derivative tuberculosis skin test, the treating clinicians began treatment for bacterial meningitis. The patient developed hyponatremia and, after an MRI, a diagnosis of tuberculous meningitis was confirmed. The authors note that hyponatremia is commonly associated with the infection.
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