title: [A case of pulmonary tuberculosis initially presented with syndrome of inappropriate secretion of antidiuretic hormone (SIADH)].
abstract: A 90-year old man was admitted to a hospital because of consciousness loss with hyponatremia. Although his symptom promptly improved with Na supply, his chest X-ray film showed pulmonary infiltration and direct microscopy of sputum smear was positive for acid-fast bacilli, then he was referred our hospital and was admitted. We made a clinical diagnosis of pulmonary tuberculosis with SIADH based on detailed examinations. But he should neither respiratory symptoms nor fever. He was medicated with the standard antituberculosis drugs with fluid restriction, and his tuberculosis and hyponatremia were improved gradually. We should be more careful about pulmonary tuberculosis irrespective of its severity as a cause of SIADH.
authors.affiliation: Department of Respiratory Medicine, National Kanazawa Wakamatsu Hospital, Se 103-1, Wakamatsu-machi, Kanazawa-shi, Ishikawa 920-1183, Japan. nisizawa@wakamatu.hosp.go.jp
authors.forename: Yoriko
authors.initials: Y
authors.lastname: Nishizawa
authors.forename: Chihiro
authors.initials: C
authors.lastname: Yamamori
authors.forename: Yukiharu
authors.initials: Y
authors.lastname: Nishimura
authors.forename: Kunimitsu
authors.initials: K
authors.lastname: Iwai
authors.forename: Kouya
authors.initials: K
authors.lastname: Okaishi
authors.forename: Shigeto
authors.initials: S
authors.lastname: Morimoto
authors.forename: Masayuki
authors.initials: M
authors.lastname: Matsumoto
authors.forename: Masahide
authors.initials: M
authors.lastname: Yasui
authors.forename: Masaki
authors.initials: M
authors.lastname: Fujimura
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000995:Antitubercular Agents / Q000008:administration & dosage; D006801:Humans; D007177:Inappropriate ADH Syndrome / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D008297:Male; D012964:Sodium / Q000008:administration & dosage; D016896:Treatment Outcome; D014397:Tuberculosis, Pulmonary / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D014868:Water Deprivation
chemical_list: D000995:Antitubercular Agents; D012964:Sodium