Severe hyponatremia due to tuberculous meningitis: a common but forgotten complication

Authors

  • Jorge Luis Hurtado-Alegre Hospital Nacional Ramiro Prialé Prialé, Servicio de Infectología. Huancayo, Peru
  • Luis Enrique Carrasco-Lozano Universidad Nacional Mayor de San Marcos, Lima, Peru https://orcid.org/0000-0001-9237-5157
  • Ana Claudia Milicic-Mori Universidad Continental. Huancayo, Peru https://orcid.org/0009-0006-0300-202X
  • Jhosef Franck Quispe-Pari Hospital Nacional Ramiro Prialé Prialé, Servicio de Infectología. Huancayo, Peru

DOI:

https://doi.org/10.15381/anales.v84i3.25311

Keywords:

Tuberculous Meningitis, Hyponatremia, Inappropriate ADH Syndrome, Peru

Abstract

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.

Author Biographies

  • Jorge Luis Hurtado-Alegre, Hospital Nacional Ramiro Prialé Prialé, Servicio de Infectología. Huancayo, Peru

    Médico especialista en enfermedades infecciosas y tropicales.

  • Luis Enrique Carrasco-Lozano, Universidad Nacional Mayor de San Marcos, Lima, Peru

    Médico especialista en medicina interna.

  • Ana Claudia Milicic-Mori, Universidad Continental. Huancayo, Peru

    Estudiante de medicina.

  • Jhosef Franck Quispe-Pari, Hospital Nacional Ramiro Prialé Prialé, Servicio de Infectología. Huancayo, Peru

    Médico especialista en enfermedades infecciosas y tropicales.

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Published

2023-08-23

Issue

Section

Reporte de Casos

How to Cite

1.
Hurtado-Alegre JL, Carrasco-Lozano LE, Milicic-Mori AC, Quispe-Pari JF. Severe hyponatremia due to tuberculous meningitis: a common but forgotten complication. An Fac med [Internet]. 2023 Aug. 23 [cited 2024 Jul. 17];84(3):315-8. Available from: https://revistasinvestigacion.unmsm.edu.pe/index.php/anales/article/view/25311