Tuberculous lymphadenitis and syndrome of inappropriate antidiuresis, improbable partners.
A patient with acute respiratory infection and severe hyponatraemia was admitted to our department. The hyponatraemia study was compatible with syndrome of inappropriate antidiuresis (SIAD) and an association with the respiratory problem was initially assumed. The recurrence of hyponatraemia after resolution of the pulmonary infection led to further investigation and to the diagnosis of tuberculous lymphadenitis. After treatment of this condition, discontinuation of SIAD treatment was possible, making this association presumable. We would like to highlight the importance of considering alternative conditions in the approach to SIAD.
Department of Medicina 1, Centro Hospitalar Lisboa Ocidental, Hospital de Egas Moniz, Lisbon, Portugal.
Helena
H
Vitorino
Department of Medicina 1, Centro Hospitalar Lisboa Ocidental, Hospital de Egas Moniz, Lisbon, Portugal.
Andrea
A
Castanheira
Department of Medicina 1, Centro Hospitalar Lisboa Ocidental, Hospital de Egas Moniz, Lisbon, Portugal.
Manuela Zita
MZ
Veiga
Department of Medicina 1, Centro Hospitalar Lisboa Ocidental, Hospital de Egas Moniz, Lisbon, Portugal.
Alberto Mello
AM
Silva
D000368:Aged; D003371:Cough / Q000382:microbiology; D004417:Dyspnea / Q000382:microbiology; D005260:Female; D006192:Haemophilus Infections / Q000150:complications* / Q000188:drug therapy; D006193:Haemophilus influenzae; D006801:Humans; D007177:Inappropriate ADH Syndrome / Q000150:complications* / Q000175:diagnosis* / Q000188:drug therapy; D012141:Respiratory Tract Infections / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology; D014388:Tuberculosis, Lymph Node / Q000150:complications* / Q000175:diagnosis* / Q000188:drug therapy