Tuberculous meningitis presenting with unusually severe hyponatremia.
We report a patient with tuberculous meningitis who presented with unusually severe hyponatremia, an electrolyte disorder that may cause symptoms similar to those of tuberculous meningitis. The hyponatremia was probably due to the syndrome of inappropriate antidiuretic hormone secretion, and resolved after instituting water restriction and antituberculous medication.
Roca
Bernardino
B
Department of Medicine, Hospital General of Castellon, University of Valencia, Spain. brocav@meditex.es
Bahamonde
Daniel
D
D000328:Adult; D000995:Antitubercular Agents; D006801:Humans; D007010:Hyponatremia / Q000175:diagnosis / Q000209:etiology*; D053609:Lethargy / Q000209:etiology; D008297:Male; D009169:Mycobacterium tuberculosis / Q000254:growth & development; D009994:Osmolar Concentration; D014390:Tuberculosis, Meningeal / Q000150:complications* / Q000175:diagnosis* / Q000188:drug therapy
D000995:Antitubercular Agents