Severe hyponatraemia in malaria.
We report a case of severe hyponatraemia and hypoglycaemia in a patient with complicated falciparum malaria. The use of large volumes of intravenous dextrose as a diluent for quinine may lead to fluid overload and exacerbate hyponatraemia.
Khoo
S H
SH
Lister Unit for Infectious Disease, Northwick Park Hospital, Harrow, Middlesex, U.K.
Wilkins
E G
EG
D000818:Animals; D005260:Female; D005947:Glucose / Q000009:adverse effects; D006801:Humans; D007003:Hypoglycemia / Q000209:etiology; D007010:Hyponatremia / Q000209:etiology*; D008288:Malaria / Q000150:complications* / Q000188:drug therapy; D010963:Plasmodium falciparum; D011803:Quinine / Q000009:adverse effects / Q000627:therapeutic use
D011803:Quinine; D005947:Glucose