title: Multiple Causes of Hyponatremia: A Case Report.
abstract: OBJECTIVE
  To present a case with 4 different potential causes of hyponatremia.
  
  
  METHODS
  The patient presented with the following symptoms: nausea, vomiting, diarrhea, and dark urine after drinking large amounts of fluids that included alcohol and caffeine. Laboratory, microbiological, and morphological examinations revealed the existence of severe hyponatremia and acute poststreptococcal glomerulonephritis. The patient developed acute symptomatic seizures and coma. Gradual normalization of the sodium level led to a recovery of consciousness.
  
  
  CONCLUSIONS
  Treatment with hypertonic sodium, fluid restriction, and antibiotics led to a complete recovery. In the case of multiple causes of hyponatremia, it is necessary to treat all causes.
authors.affiliation: Clinic of Endocrinology, Diabetes and Metabolic Diseases, Clinical Center of Vojvodina, Novi Sad, Serbia.
authors.forename: Tijana
authors.initials: T
authors.lastname: Icin
authors.forename: Milica
authors.initials: M
authors.lastname: Medic-Stojanoska
authors.forename: Tatjana
authors.initials: T
authors.lastname: Ilic
authors.forename: Vladimir
authors.initials: V
authors.lastname: Kuzmanovic
authors.forename: Bojan
authors.initials: B
authors.lastname: Vukovic
authors.forename: Ivanka
authors.initials: I
authors.lastname: Percic
authors.forename: Branka
authors.initials: B
authors.lastname: Kovacev-Zavisic
mesh_terms: D000328:Adult; D003128:Coma / Q000150:complications; D005921:Glomerulonephritis / Q000150:complications; D006801:Humans; D007010:Hyponatremia / Q000209:etiology* / Q000628:therapy; D008297:Male; D012640:Seizures / Q000150:complications; D012964:Sodium / Q000097:blood; D013290:Streptococcal Infections / Q000150:complications
chemical_list: D012964:Sodium
keywords: Acute poststreptococcal glomerulonephritis; Alcohol abuse; Energy drink abuse; Hyponatremia; Taurine