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

Hurtado-Alegre J.L.; Carrasco-Lozano L.E.; Milicic-Mori A.C.; Quispe-Pari J.F. · Anales de la Facultad de Medicina (2023) · DOI: 10.15381/anales.v84i3.25311

Resumen

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.

Instituciones: Universidad Nacional Mayor de San Marcos; Universidad Continental; Universidad Nacional del Centro del Perú