Case Report: Severe hypernatremia from psychogenic adipsia.
Hypernatremia is a common emergency room presentation and carries high mortality. We describe a case of a 56-year-old male patient with who presents with refusal to drink water for several weeks leading to the admission. He was diagnosed with psychogenic adipsia and was treated successfully with fluids, mirtazapine and clonazepam.
Division of Internal Medicine, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, USA.
Sarah
S
Manning
Division of Internal Medicine, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, USA.
Rehan
R
Shaffie
Division of Internal Medicine, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, USA.
Shitij
S
Arora
adipsia; altered mental status; hypernatremia; infection; osmolality; osmotic demyelination; paranoia; stroke