Severe exercise-associated hyponatremia on the Kokoda Trail, Papua New Guinea

Wilderness and Environmental Medicine

Volumn 19, Issue 1, 2008, Pages 42-44

  Rothwell, Sean P ^a   Rosengren, David J ^a  

^a ROYAL BRISBANE AND WOMEN'S HOSPITAL   (Australia)

Author keywords

Exertion; Fluid therapy; Hyponatremia; Water intoxication

Indexed keywords

DOXYCYCLINE; SODIUM;

ABDOMINAL PAIN; ADULT; ARTICLE; BRAIN INJURY; CASE REPORT; COGNITION; COLLAPSE; EXERCISE; HOSPITAL; HUMAN; HYPONATREMIA; LEG CRAMP; MALARIA; MALARIA CONTROL; MALE; PAPUA NEW GUINEA; SEIZURE; SODIUM BLOOD LEVEL;

EID: 41149100698     PISSN: 10806032     EISSN: None     Source Type: Journal    
DOI: 10.1580/07-WEME-CR-116.1     Document Type: Article

References (17)

1. Exercise-Associated Hyponatremia (EAH) Consensus Panel. Consensus Statement of the First International EAH Consensus Development Conference. Cape Town, South Africa: EAH Consensus Panel; 2005.
2. Noakes T. Hyponatremia in distance runners: fluid and sodium balance during exercise. Curr Sports Med Rep. 2002; 1:197-207.
3. Speedy DB, Rogers IR, Noakes TD, et al. Exercise-induced hyponatremia in ultradistance triathletes is caused by inappropriate fluid retention. Clin J Sport Med. 2000; 10:272-278.
4. Shapiro SA, Ejaz AA, Osborne MD, Taylor WC. Moderate exercise-induced hyponatremia. Clin J Sport Med. 2006; 16):72-73.
5. Backer HD, Shopes E, Collins SL, Barkan H. Exertional heat illness and hyponatremia in hikers. Am J Emerg Med. 1999;17:532-539.
6. Siegel AJ. Exercise-associated hyponatremia: role of cytokines. Am J Med. 2006;119(7 suppl 1):S74-S78.
7. Noakes TD, Speedy DB. Case proven: exercise associated hyponatraemia is due to overdrinking. So why did it take 20 years before the original evidence was accepted? Br J Sports Med. 2006;40:567-572.
8. Davis DP, Videen JS, Marino A, et al. Exercise-associated hyponatremia in marathon runners: a two-year experience. J Emerg Med. 2001;21:47-57.
9. Sanchez LD, Corwell B, Berkoff D. Medical problems of marathon runners. Am J Emerg Med. 2006;24:608-615.
10. Dugas JP, Noakes, TD. Hyponatraemic encephalopathy despite a modest rate of fluid intake during a 109 km cycle race. Br J Sports Med. 2005;39:e38.
11. Noakes T. International Marathon Medical Directors Association. Fluid replacement during marathon running. Clin J Sport Med. 2003;13:309-318.
12. O'Connor RE. Exercise-induced hyponatremia: causes, risks, prevention, and management. Cleve Clin J Med. 2006;73(suppl 3):S13-S18.
13. Speedy DB, Rogers IR, Noakes TD, et al. Diagnosis and prevention of hyponatremia at an ultradistance triathlon. Clin J Sport Med. 2000;10:52-58.
14. Speedy DB, Noakes TD, Kimber NE, et al. Fluid balance during and after an ironman triathlon. Clin J Sport Med. 2001;11:44-50.
15. Sawka MN, Burke LM, Eichner ER, Maughan RJ, Montain SJ, Stachenfeld NS. American College of Sports Medicine position stand. Exercise and fluid replacement. Med Sci Sports Exerc. 2007;39:377-390.
16. Speedy DB, Thompson JM, Rodgers I, Collins M, Sharwood K, Noakes TD. Oral salt supplementation during ultradistance exercise. Clin J Sport Med. 2002;12:279-284.
17. Wharam PC, Speedy DB, Noakes TD, Thompson JM, Reid SA, Holtzhausen LM. NSAID use increases the risk of developing hyponatremia during an Ironman triathlon. Med Sci Sports Exerc. 2006;38:618-622.