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A Case Report of Severe Hyponatremia Secondary to Coronavirus Disease 2019 Viral Pneumonia
As of December 2020, the coronavirus disease 2019 (COVID-19) pandemic has resulted in 82.2 million cases worldwide. We report the case of a 69-year-old South Asian female with a history of hypertension, hypothyroidism, meningiomatosis, and urinary incontinence who contracted COVID-19 and developed s...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8062316/ https://www.ncbi.nlm.nih.gov/pubmed/33903839 http://dx.doi.org/10.7759/cureus.14077 |
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author | Pillutla, Vinati Patel, Anooj Koneru, Sindhoora Ng, Kenneth K Ng, Mitchell K |
author_facet | Pillutla, Vinati Patel, Anooj Koneru, Sindhoora Ng, Kenneth K Ng, Mitchell K |
author_sort | Pillutla, Vinati |
collection | PubMed |
description | As of December 2020, the coronavirus disease 2019 (COVID-19) pandemic has resulted in 82.2 million cases worldwide. We report the case of a 69-year-old South Asian female with a history of hypertension, hypothyroidism, meningiomatosis, and urinary incontinence who contracted COVID-19 and developed severe hyponatremia. She was initially medically managed with antibiotics, anti-parasitics, anti-coagulants, and steroids. After experiencing breathlessness, chest discomfort, high systolic blood pressure, and tachycardia, she was admitted and diagnosed with post-COVID pneumonia, and was conservatively treated with steroids. She showed improvement, and was discharged upon being declared hemodynamically stable. While the patient was at home, she experienced periods of breathlessness and acral edema. This case raises the question of the correlation between hyponatremia and COVID-19, especially in regards to symptomatic presentations, including altered mental status, headache, and nausea. As there are limited studies that show severe electrolyte disorders leading to mortality, more research is needed to understand hyponatremia in cases with COVID-19. |
format | Online Article Text |
id | pubmed-8062316 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-80623162021-04-25 A Case Report of Severe Hyponatremia Secondary to Coronavirus Disease 2019 Viral Pneumonia Pillutla, Vinati Patel, Anooj Koneru, Sindhoora Ng, Kenneth K Ng, Mitchell K Cureus Internal Medicine As of December 2020, the coronavirus disease 2019 (COVID-19) pandemic has resulted in 82.2 million cases worldwide. We report the case of a 69-year-old South Asian female with a history of hypertension, hypothyroidism, meningiomatosis, and urinary incontinence who contracted COVID-19 and developed severe hyponatremia. She was initially medically managed with antibiotics, anti-parasitics, anti-coagulants, and steroids. After experiencing breathlessness, chest discomfort, high systolic blood pressure, and tachycardia, she was admitted and diagnosed with post-COVID pneumonia, and was conservatively treated with steroids. She showed improvement, and was discharged upon being declared hemodynamically stable. While the patient was at home, she experienced periods of breathlessness and acral edema. This case raises the question of the correlation between hyponatremia and COVID-19, especially in regards to symptomatic presentations, including altered mental status, headache, and nausea. As there are limited studies that show severe electrolyte disorders leading to mortality, more research is needed to understand hyponatremia in cases with COVID-19. Cureus 2021-03-24 /pmc/articles/PMC8062316/ /pubmed/33903839 http://dx.doi.org/10.7759/cureus.14077 Text en Copyright © 2021, Pillutla et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Internal Medicine Pillutla, Vinati Patel, Anooj Koneru, Sindhoora Ng, Kenneth K Ng, Mitchell K A Case Report of Severe Hyponatremia Secondary to Coronavirus Disease 2019 Viral Pneumonia |
title | A Case Report of Severe Hyponatremia Secondary to Coronavirus Disease 2019 Viral Pneumonia |
title_full | A Case Report of Severe Hyponatremia Secondary to Coronavirus Disease 2019 Viral Pneumonia |
title_fullStr | A Case Report of Severe Hyponatremia Secondary to Coronavirus Disease 2019 Viral Pneumonia |
title_full_unstemmed | A Case Report of Severe Hyponatremia Secondary to Coronavirus Disease 2019 Viral Pneumonia |
title_short | A Case Report of Severe Hyponatremia Secondary to Coronavirus Disease 2019 Viral Pneumonia |
title_sort | case report of severe hyponatremia secondary to coronavirus disease 2019 viral pneumonia |
topic | Internal Medicine |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8062316/ https://www.ncbi.nlm.nih.gov/pubmed/33903839 http://dx.doi.org/10.7759/cureus.14077 |
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