title: Muscle cell membrane damage by very low serum sodium.
abstract: A 63-year-old male was admitted with complaints of upper gastrointestinal symptoms with fatigue and myalgia. Investigations revealed severe hyponatremia with elevated creatine phosphokinase levels. Following further workup, it was diagnosed as a case of hyponatremia induced rhabdomyolysis. Because of prompt correction of hyponatremia, his renal function was preserved and myoglobinuria induced renal failure was avoided. The importance of early recognition of this potentially dangerous condition is emphasized.
authors.affiliation: Department of Gastroenterology, Amrita Institute of Medical Sciences and Research Centre, Cochin, India.
authors.forename: Joye
authors.initials: J
authors.lastname: Varghese
authors.forename: Vallath
authors.initials: V
authors.lastname: Balakrishnan
authors.forename: Shine
authors.initials: S
authors.lastname: Sadasivan
authors.forename: Prem
authors.initials: P
authors.lastname: Nair
authors.forename: Venkadeswaran Anantha
authors.initials: VA
authors.lastname: Narayanan