Alla Krishnakar Reddy, Pulluri Rusheeka
Internal Medicine, Sri Venkata Sai (SVS) Medical College, Mahbubnagar, IND.
Cureus. 2025 Aug 9;17(8):e89685. doi: 10.7759/cureus.89685. eCollection 2025 Aug.
Table salt is widely available and, in some cases, inappropriately used as an emetic in poisoning incidents, both in clinical and domestic settings. However, saltwater-induced emesis can lead to severe hypernatremia, which, although rare, carries a high risk of morbidity and mortality. Early recognition, prompt diagnosis, and urgent management are essential to prevent irreversible neurological injury or death. We report a case of severe hypernatremia (serum sodium 187 mmol/L) following saltwater-induced emesis in a young woman with suspected neem powder poisoning, in whom timely intervention led to complete recovery. Clinical features, management strategies, and the urgent need to eliminate this dangerous practice are discussed.
食盐广泛可得，在某些情况下，在临床和家庭环境中，它被不恰当地用作中毒事件中的催吐剂。然而，盐水诱导的呕吐可导致严重的高钠血症，尽管这种情况罕见，但具有很高的发病和死亡风险。早期识别、及时诊断和紧急处理对于预防不可逆的神经损伤或死亡至关重要。我们报告了一例年轻女性疑似印楝粉中毒后因盐水诱导呕吐导致严重高钠血症（血清钠187 mmol/L）的病例，该患者经及时干预后完全康复。本文讨论了临床特征、管理策略以及消除这种危险做法的迫切需求。
