Cerebral salt wasting in tuberculous meningitis: treatment with fludrocortisone.
Three cases of cerebral salt wasting complicating tuberculous meningitis are described. Diagnosis was based on hyponatraemia associated with high urinary sodium excretion and inappropriately high urine output in the presence of dehydration. Treatment with fludrocortisone resulted in sodium and fluid homeostasis.
Celik
Umit Sizmaz
US
Department of Pediatrics, Faculty of Medicine, Cukurova University, Adana, Turkey.
Alabaz
Derya
D
Yildizdas
Dinçer
D
Alhan
Emre
E
Kocabas
Emine
E
Ulutan
Selvi
S
D000293:Adolescent; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use*; D002648:Child; D002675:Child, Preschool; D005260:Female; D005438:Fludrocortisone / Q000627:therapeutic use*; D006801:Humans; D007010:Hyponatremia / Q000150:complications / Q000188:drug therapy* / Q000652:urine; D008297:Male; D012964:Sodium / Q000652:urine; D016896:Treatment Outcome; D014390:Tuberculosis, Meningeal / Q000150:complications*; D019282:Wasting Syndrome / Q000150:complications / Q000188:drug therapy* / Q000652:urine; D014882:Water-Electrolyte Balance / Q000502:physiology
D000893:Anti-Inflammatory Agents; D012964:Sodium; D005438:Fludrocortisone