[Hyponatremia: an unusual case report].
Hyponatremia is a frequent finding and asks for a rapid diagnostic evaluation. We report a case of recurrent hyponatremia secondary to an adrenal insufficiency of medicamentous and tuberculous origin. This case illustrates the importance of a rapid etiologic diagnosis of hyponatremia and allows us to review adrenal insufficiency of tuberculous origin. It also stresses the danger of potential drug interactions in case of corticosteroid substitution.
Service de médecine Interne B, Division de pharmacologie clinique, Département de médecine, CHUV, Lausanne.
L
L
Berwert
P
P
Kaeser
F
F
Livio
P
P
Vollenweider
G
G
Waeber
D000224:Addison Disease / Q000150:complications / Q000175:diagnosis; D000309:Adrenal Insufficiency / Q000150:complications* / Q000175:diagnosis; D000328:Adult; D000893:Anti-Inflammatory Agents / Q000008:administration & dosage / Q000494:pharmacology / Q000627:therapeutic use; D000897:Anti-Ulcer Agents / Q000008:administration & dosage / Q000494:pharmacology / Q000627:therapeutic use; D000995:Antitubercular Agents / Q000008:administration & dosage / Q000494:pharmacology / Q000627:therapeutic use; D003937:Diagnosis, Differential; D004347:Drug Interactions; D004551:Elbow Joint; D004791:Enzyme Inhibitors / Q000008:administration & dosage / Q000494:pharmacology / Q000627:therapeutic use; D016481:Helicobacter Infections / Q000175:diagnosis / Q000188:drug therapy; D016480:Helicobacter pylori; D006801:Humans; D006854:Hydrocortisone / Q000008:administration & dosage / Q000494:pharmacology / Q000627:therapeutic use; D007010:Hyponatremia / Q000175:diagnosis / Q000209:etiology*; D008297:Male; D009853:Omeprazole / Q000008:administration & dosage / Q000494:pharmacology / Q000627:therapeutic use; D054328:Proton Pump Inhibitors; D013997:Time Factors; D014383:Tuberculosis, Endocrine / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D014394:Tuberculosis, Osteoarticular / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D014397:Tuberculosis, Pulmonary / Q000150:complications / Q000175:diagnosis / Q000188:drug therapy
D000893:Anti-Inflammatory Agents; D000897:Anti-Ulcer Agents; D000995:Antitubercular Agents; D004791:Enzyme Inhibitors; D054328:Proton Pump Inhibitors; D009853:Omeprazole; D006854:Hydrocortisone