title: Extreme hypernatraemia: a case report and brief review.
abstract: A 44-year-old man presented with extreme hypernatraemia. The case is unique in three respects: the patient's plasma sodium concentration was 208mmol/L; the aetiology was multifactorial, including essential hypernatraemia, hypodipsia and high ambient temperature; and the patient survived with full neurological recovery. We briefly review various disorders of thirst and osmorecepters.
authors.affiliation: Department of Intensive Care Medicine, Gold Coast Hospital, Southport, QLD, Australia. anthony_holley@health.qld.gov.au
authors.forename: Anthony D
authors.initials: AD
authors.lastname: Holley
authors.forename: Stuart
authors.initials: S
authors.lastname: Green
authors.forename: Peter
authors.initials: P
authors.lastname: Davoren
mesh_terms: D000328:Adult; D001921:Brain / Q000000981:diagnostic imaging; D005500:Follow-Up Studies; D015600:Glasgow Coma Scale; D006358:Hot Temperature; D006801:Humans; D006955:Hypernatremia / Q000097:blood / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D008297:Male; D012964:Sodium / Q000097:blood; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D014474:Unconsciousness / Q000209:etiology; D014508:Urea / Q000097:blood
chemical_list: D014508:Urea; D012964:Sodium