[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.
Berwert
L
L
Service de médecine Interne B, Division de pharmacologie clinique, Département de médecine, CHUV, Lausanne.
Kaeser
P
P
Livio
F
F
Vollenweider
P
P
Waeber
G
G
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