Hyponatraemic syndrome in a patient with tuberculosis - Always the adrenals?

Nephrology Dialysis Transplantation

Volumn 23, Issue 1, 2008, Pages 393-395

  Camous, Laurent ^a   Valin, Nadia ^a   Zaragoza, José Luis Lopez ^a   Bourry, Edward ^a   Caumes, Eric ^a   Deray, Gilbert ^a   Izzedine, Hassane ^a  

^a PITIÉ SALPÊTRIÈRE HOSPITAL   (France)

Author keywords

Hyponatraemic; Meningitis; Tuberculosis

Indexed keywords

ATRIAL NATRIURETIC FACTOR; BRAIN NATRIURETIC PEPTIDE; FLUDROCORTISONE; MINERALOCORTICOID; POTASSIUM;

ABDOMINAL PAIN; ADRENAL DISEASE; ADULT; ARTICLE; CASE REPORT; CEREBRAL SALT WASTING SYNDROME; COUGHING; DIFFERENTIAL DIAGNOSIS; DYSPNEA; FOLLOW UP; HEMOPTYSIS; HUMAN; HUMAN IMMUNODEFICIENCY VIRUS INFECTION; HYPERTENSION; HYPOKALEMIA; HYPONATREMIA; INAPPROPRIATE VASOPRESSIN SECRETION; LUNG EDEMA; MALE; PRIORITY JOURNAL; SALT LOSING NEPHRITIS; TUBERCULOSIS; TUBERCULOUS MENINGITIS; WEAKNESS; WEIGHT REDUCTION; BRAIN DISEASE; SYNDROME; WASTING SYNDROME;

ADRENAL GLAND DISEASES; ADULT; BRAIN DISEASES; DIAGNOSIS, DIFFERENTIAL; HIV WASTING SYNDROME; HUMANS; HYPONATREMIA; MALE; SYNDROME; TUBERCULOSIS, MENINGEAL;

EID: 44449150000     PISSN: 09310509     EISSN: 14602385     Source Type: Journal    
DOI: 10.1093/ndt/gfm372     Document Type: Article

References (16)

1. Peters J, Welt LG, Sims EAH et al. A salt wasting syndrome associated with cerebral disease. Trans Assoc Am Physicians 1950; 63: 57-64
2. Schwartz WB, Bennett W, Curelop S. A syndrome of renal sodium loss and hyponatraemia probably resulting from inappropriate secretion of antidiuretic hormone. Am J Med 1957; 23: 529-542
3. Rapoport S, West CD, Brodsky WA. Salt losing conditions: the renal defect in tuberculous meningitis. J Lab Clin Med 1951; 550-561
4. Harrigan MR. Cerebral salt wasting syndrome. Crit Care Clin 2001; 17: 125-138
5. Palmer BF. Hyponatraemia in a neurosurgical patient: syndrome of inappropriate antidiuretic hormone secretion versus cerebral salt wasting. Nephrol Dial Transplant 2000; 15: 262-268
6. Maesaka JK, Gupta S, Fishbane S. Cerebral salt-wasting syndrome: does it exist? Nephron 1999; 82: 100-109
7. Narotam PK, Kemp M, Buck R, Gouws E, van Dellen JR, Bhoola KD. Hyponatremic natriuretic syndrome in tuberculous meningitis: the probable role of atrial natriuretic peptide. Neurosurgery 1994; 34: 982-988
8. Berendes E, Walter M, Cullen P et al. Secretion of brain natriuretic peptide in patients with aneurysmal subarachnoid haemorrhage. Lancet 1997; 349: 245-249
9. Diringer M, Ladenson PW, Borel C, Hart GK, Kirsch JR, Hanley DF. Sodium and water regulation in a patient with cerebral salt wasting. Arch Neurol 1989; 46: 928-930
10. Tang WW, Kaptein EM, Feinstein EI, Massry SG. Hyponatraemia in hospitalized patients with the acquired immunodeficiency syndrome (AIDS) and the AIDS-related complex. Am J Med 1993; 94: 169-174
11. Hill AR, Uribarri J, Mann J, Berl T. Altered water metabolism in tuberculosis: role of vasopressin. Am J Med 1990; 88: 357-364
12. Aron DC. Endocrine complications of the acquired immunodeficiency syndrome. Arch Intern Med 1989; 149: 330-333
13. Kroll M, Juhler M, Lindholm J. Hyponatraemia in acute brain disease. J Intern Med 1992; 232: 291-297
14. Cluitmans FH, Meinders AE. Management of severe hyponatraemia: rapid or slow correction? Am J Med 1990; 88: 161-166
15. Sakarcan A, Bocchini J,Jr. The role of fludrocortisone in a child with cerebral salt wasting. Pediatr Nephrol 1998; 12: 769-771
16. Ishikawa SE, Saito T, Kaneko K, Okada K, Kuzuya T. Hyponatraemia responsive to fludrocortisone acetate in elderly patients after head injury. Ann Intern Med 1987; 106: 187-191