尿潴留与严重低钠血症：新型冠状病毒肺炎的一种不寻常表现
Urinary Retention and Severe Hyponatremia: An Unusual Presentation of COVID-19.
作者信息
Saleh Ahmed Osman, Al-Shokri Shaikha D, Ahmed Ashraf Oe, Musa Ahmed Elmustafa, Mohamed Mouhand Fh
机构信息
Internal Medicine Department, Medical Education, Hamad Medical Corporation, Doha, Qatar.
Diagnostic and Interventional Radiology Department, Medical Education, Hamad Medical Corporation, Doha, Qatar.
出版信息
Eur J Case Rep Intern Med. 2020 Sep 11;7(10):001905. doi: 10.12890/2020_001905. eCollection 2020.
UNLABELLED
Coronavirus disease 2019 (COVID-19) was first reported in Wuhan, China, in December 2019. The disease is caused by severe acute respiratory syndrome virus coronavirus 2 (SARS-CoV-2). A few published cases have linked COVID-19 and hyponatremia. The mechanism of hyponatremia in these cases is related to the syndrome of inappropriate antidiuretic hormone secretion (SIADH). Here we present a unique case of urinary retention and SIADH as unusual presenting features of SARS-CoV-2 infection.
LEARNING POINTS
Urine retention could be an unusual presenting symptom of severe hyponatremia of COVID-19.Hyponatremia and SIADH could be unusual presenting features of SARS-CoV-2 infection.Careful correction of hyponatremia related to COVID-19 is necessary to avoid osmotic demyelination syndrome.
未标注
2019年12月，中国武汉首次报告了2019冠状病毒病（COVID-19）。该疾病由严重急性呼吸综合征冠状病毒2（SARS-CoV-2）引起。一些已发表的病例将COVID-19与低钠血症联系起来。这些病例中低钠血症的机制与抗利尿激素分泌不当综合征（SIADH）有关。在此，我们报告一例独特的尿潴留和SIADH病例，作为SARS-CoV-2感染不寻常的表现特征。
学习要点
尿潴留可能是COVID-19严重低钠血症不寻常的表现症状。低钠血症和SIADH可能是SARS-CoV-2感染不寻常的表现特征。谨慎纠正与COVID-19相关的低钠血症对于避免渗透性脱髓鞘综合征是必要的。
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