title: Mild Lung Tuberculosis in a Patient Suffering from Status Epilepticus Caused by the Syndrome of Inappropriate Secretion of Antidiuretic Hormone (SIADH).
abstract: A 76-year-old woman was diagnosed with lung tuberculosis. On the second day of anti-tuberculosis treatment, she became unconscious and developed status epilepticus accompanied by hyponatremia. The hyponatremia was caused by the syndrome of inappropriate secretion of antidiuretic hormone (SIADH). Detailed examinations revealed that the patient's status epilepticus had occurred due to hyponatremia, which was caused by lung tuberculosis-associated SIADH. Previous case reports noted that patients with tuberculosis-associated SIADH showed mild clinical manifestations. They also reported that extensive lung involvement was associated with SIADH development. We herein report a rare case of SIADH complicated with status epilepticus that was caused by tuberculosis with mild lung involvement.
authors.affiliation: Division of Respiratory Disease, Department of Internal Medicine, The Jikei University School of Medicine, Japan.
authors.forename: Mitsuo
authors.initials: M
authors.lastname: Hashimoto
authors.forename: Saki
authors.initials: S
authors.lastname: Kuriiwa
authors.forename: Ayako
authors.initials: A
authors.lastname: Kojima
authors.forename: Kyota
authors.initials: K
authors.lastname: Shinhuku
authors.forename: Akihito
authors.initials: A
authors.lastname: Sato
authors.forename: Ryoko
authors.initials: R
authors.lastname: Sasaki
authors.forename: Tsukasa
authors.initials: T
authors.lastname: Hasegawa
authors.forename: Akihiko
authors.initials: A
authors.lastname: Ito
authors.forename: Hirofumi
authors.initials: H
authors.lastname: Utsumi
authors.forename: Haruhiko
authors.initials: H
authors.lastname: Yanagisawa
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Wakui
authors.forename: Shunsuke
authors.initials: S
authors.lastname: Minagawa
authors.forename: Jun
authors.initials: J
authors.lastname: Kojima
authors.forename: Takanori
authors.initials: T
authors.lastname: Numata
authors.forename: Hiromichi
authors.initials: H
authors.lastname: Hara
authors.forename: Jun
authors.initials: J
authors.lastname: Araya
authors.forename: Yumi
authors.initials: Y
authors.lastname: Kaneko
authors.forename: Katsutoshi
authors.initials: K
authors.lastname: Nakayama
authors.forename: Kazuyoshi
authors.initials: K
authors.lastname: Kuwano
mesh_terms: D000368:Aged; D000995:Antitubercular Agents / Q000627:therapeutic use; D005260:Female; D006801:Humans; D007010:Hyponatremia / Q000209:etiology / Q000382:microbiology; D007177:Inappropriate ADH Syndrome / Q000150:complications* / Q000175:diagnosis / Q000382:microbiology; D013902:Radiography, Thoracic; D013226:Status Epilepticus / Q000209:etiology* / Q000382:microbiology; D014057:Tomography, X-Ray Computed; D014397:Tuberculosis, Pulmonary / Q000150:complications* / Q000000981:diagnostic imaging / Q000188:drug therapy
chemical_list: D000995:Antitubercular Agents