[A 67-year-old patient with somnolence and severe hyponatraemia].
A 67-year-old female patient with known depression was admitted to the intensive care unit with severe hyponatraemia (105 mmol/l) and somnolence caused by inadequate antidiuretic hormone secretion (SIADH) syndrome after starting therapy with the selective serotonin reuptake inhibitor (SSRI) Citalopram. This medication was stopped, and the hyponatraemia was carefully treated with fluid restriction and diuretics. Seven days later, the patient was discharged to a psychiatric ward with normal sodium levels and markedly improved vigilance. Given the increased use of SSRI for medical treatment of depression, the risk factors of this rare but potentially life-threatening complication and the diagnostic and therapeutic options are discussed.
Seiderer
J
J
Medizinische Klinik II - Grosshadern, Klinikum der Ludwig-Maximilians-Universität, München, Germany. julia.seiderer@med.uni-muenchen.de
Rust
C
C
Menth
M
M
Pusl
T
T
Jung
M
M
D000368:Aged; D018687:Antidepressive Agents, Second-Generation / Q000009:adverse effects; D006970:Disorders of Excessive Somnolence / Q000139:chemically induced* / Q000175:diagnosis* / Q000517:prevention & control; D005260:Female; D006801:Humans; D007010:Hyponatremia / Q000139:chemically induced* / Q000175:diagnosis* / Q000517:prevention & control; D017367:Selective Serotonin Reuptake Inhibitors / Q000009:adverse effects*
D018687:Antidepressive Agents, Second-Generation; D017367:Selective Serotonin Reuptake Inhibitors