Mild Lung Tuberculosis in a Patient Suffering from Status Epilepticus Caused by the Syndrome of Inappropriate Secretion of Antidiuretic Hormone (SIADH)

A 76-year-old woman was diagnosed with lung tuberculosis. On the second day of anti-tuberculosis treatment, she became unconscious and developed status epilepticus accompanied by hyponatremia. The hyponatremia was caused by the syndrome of inappropriate secretion of antidiuretic hormone (SIADH). Det...

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Detalles Bibliográficos
Autores principales: Hashimoto, Mitsuo, Kuriiwa, Saki, Kojima, Ayako, Shinhuku, Kyota, Sato, Akihito, Sasaki, Ryoko, Hasegawa, Tsukasa, Ito, Akihiko, Utsumi, Hirofumi, Yanagisawa, Haruhiko, Wakui, Hiroshi, Minagawa, Shunsuke, Kojima, Jun, Numata, Takanori, Hara, Hiromichi, Araya, Jun, Kaneko, Yumi, Nakayama, Katsutoshi, Kuwano, Kazuyoshi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2017
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5364197/
https://www.ncbi.nlm.nih.gov/pubmed/28202866
Descripción
Sumario:A 76-year-old woman was diagnosed with lung tuberculosis. On the second day of anti-tuberculosis treatment, she became unconscious and developed status epilepticus accompanied by hyponatremia. The hyponatremia was caused by the syndrome of inappropriate secretion of antidiuretic hormone (SIADH). Detailed examinations revealed that the patient's status epilepticus had occurred due to hyponatremia, which was caused by lung tuberculosis-associated SIADH. Previous case reports noted that patients with tuberculosis-associated SIADH showed mild clinical manifestations. They also reported that extensive lung involvement was associated with SIADH development. We herein report a rare case of SIADH complicated with status epilepticus that was caused by tuberculosis with mild lung involvement.

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