Kulkarni, Manjunath and Kadri, Prashanth and Sannegowda, Raghavendra Bakki and Bethsaida, Maria and D’Souza, Nikhil (2015) Treating double-digit hyponatremia: walking a tight rope. The Egyptian Journal of Internal Medicine, 27 (3). pp. 121-122. ISSN 11107782

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Abstract

We report the case of a diabetic patient who presented with severe hyponatremia (serum sodium concentration of 88 mEq/l) caused by hypovolemia and thiazide diuretic use. His serum sodium levels were gradually corrected using a combination of isotonic and hypotonic fl uids based on urine output and rate of rise in sodium levels. The patient had complete recovery without any evidence of osmotic demyelination.

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