Abstract

HURTADO-ALEGRE, Jorge Luis; CARRASCO-LOZANO, Luis Enrique; MILICIC-MORI, Ana Claudia  and  QUISPE-PARI, Jhosef Franck. Severe hyponatremia due to tuberculous meningitis: a common but forgotten complication. An. Fac. med. [online]. 2023, vol.84, n.3, pp.315-318.  Epub Sep 30, 2023. ISSN 1025-5583.  http://dx.doi.org/10.15381/anales.v84i3.25311.

We present the case of a 55-year-old male patient who was admitted due to an altered state of consciousness due to severe hyponatremia secondary to tuberculous meningitis. There was no improvement in hyponatremia after treatment with hypertonic saline solution, therefore the diagnosis of syndrome of inappropriate secretion of antidiuretic hormone (SIADH) was proposed, and improvement was evidenced with fluid restriction. The interest of this case is to report a common but forgotten complication of tuberculous meningitis.

Keywords : Tuberculous Meningitis; Hyponatremia; Inappropriate ADH Syndrome; Peru.

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