[低钠血症：一例罕见病例报告]

[Hyponatremia: an unusual case report].

作者信息

Berwert L, Kaeser P, Livio F, Vollenweider P, Waeber G

机构信息

Service de médecine Interne B, Division de pharmacologie clinique, Département de médecine, CHUV, Lausanne.

出版信息

Praxis (Bern 1994). 2003 Oct 8;92(41):1727-32. doi: 10.1024/0369-8394.92.41.1727.

DOI:10.1024/0369-8394.92.41.1727

PMID:14587366

Abstract

Hyponatremia is a frequent finding and asks for a rapid diagnostic evaluation. We report a case of recurrent hyponatremia secondary to an adrenal insufficiency of medicamentous and tuberculous origin. This case illustrates the importance of a rapid etiologic diagnosis of hyponatremia and allows us to review adrenal insufficiency of tuberculous origin. It also stresses the danger of potential drug interactions in case of corticosteroid substitution.

摘要

低钠血症是一种常见的表现，需要进行快速的诊断评估。我们报告一例继发于药物性和结核性肾上腺功能不全的复发性低钠血症病例。该病例说明了低钠血症快速病因诊断的重要性，并使我们能够回顾结核性肾上腺功能不全。它还强调了在使用皮质类固醇替代治疗时潜在药物相互作用的危险性。