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Title: | Persistent hypernatremia in tuberculous meningitis- diagnostic dilemma. |
Authors: | Sudha Reddy, Naveen Kumar, Chinthana B.S |
Keywords: | Tuberculous meningitis (TBM), Syndrome of inappropriate anti-diuretic hormone (SIADH) secretion, Cerebral Salt Wasting Syndrome (CSWS) |
Issue Date: | Jan-2021 |
Publisher: | SDUAHER |
Abstract: | Hyponatremia has been recognized as a serious complication in patients with tuberculous meningitis (TBM). The differential diagnoses of hyponatremia in TBM are adrenal insufficiency, Syndrome of Inappropriate Anti Diuretic Hormone (SIADH) secretion, and Cerebral Salt Wasting Syndrome (CSWS). Thorough clinical and laboratory examination is important to distinguish between SIADH and CSWS as attention to extracellular volume status is critical. Misdiagnosis of CSWS as SIADH can be fatal, as water restriction is detrimental to patients with CSWS. |
URI: | http://172.16.4.202:8080/xmlui/handle/123456789/8775 |
Appears in Collections: | Pediatrics |
Files in This Item:
File | Description | Size | Format | |
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Persistent hypernatremia in tuberculous meningitis- diagnostic dilemma..pdf | 298.4 kB | Adobe PDF | View/Open |
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