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Case Report: Severe Hypernatremia From Ingestion of One's Own Urine

An often unrecognized cause of hypernatremia is the ingestion of fluids or substances with high osmolality. We hereby report a case of severe hypernatremia with acute kidney injury in a severely debilitated patient with acute gouty arthritis who resorted to ingesting his own urine. Hypernatremia ind...

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Detalles Bibliográficos
Autores principales: Kang, Waye Hann, Kamaruddin, N. A., Sukor, Norlela
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9240661/
https://www.ncbi.nlm.nih.gov/pubmed/35783646
http://dx.doi.org/10.3389/fmed.2022.929180
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author Kang, Waye Hann
Kamaruddin, N. A.
Sukor, Norlela
author_facet Kang, Waye Hann
Kamaruddin, N. A.
Sukor, Norlela
author_sort Kang, Waye Hann
collection PubMed
description An often unrecognized cause of hypernatremia is the ingestion of fluids or substances with high osmolality. We hereby report a case of severe hypernatremia with acute kidney injury in a severely debilitated patient with acute gouty arthritis who resorted to ingesting his own urine. Hypernatremia induced by drinking urine could be attributed to many underlying mechanisms, one of the important possible causes is the resultant high serum urea that leads to significant osmotic diuresis and a further increase in free water clearance. To the best of our knowledge this is the first case report that describes this unique cause of hypernatremia.
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spelling pubmed-92406612022-06-30 Case Report: Severe Hypernatremia From Ingestion of One's Own Urine Kang, Waye Hann Kamaruddin, N. A. Sukor, Norlela Front Med (Lausanne) Medicine An often unrecognized cause of hypernatremia is the ingestion of fluids or substances with high osmolality. We hereby report a case of severe hypernatremia with acute kidney injury in a severely debilitated patient with acute gouty arthritis who resorted to ingesting his own urine. Hypernatremia induced by drinking urine could be attributed to many underlying mechanisms, one of the important possible causes is the resultant high serum urea that leads to significant osmotic diuresis and a further increase in free water clearance. To the best of our knowledge this is the first case report that describes this unique cause of hypernatremia. Frontiers Media S.A. 2022-06-15 /pmc/articles/PMC9240661/ /pubmed/35783646 http://dx.doi.org/10.3389/fmed.2022.929180 Text en Copyright © 2022 Kang, Kamaruddin and Sukor. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Medicine
Kang, Waye Hann
Kamaruddin, N. A.
Sukor, Norlela
Case Report: Severe Hypernatremia From Ingestion of One's Own Urine
title Case Report: Severe Hypernatremia From Ingestion of One's Own Urine
title_full Case Report: Severe Hypernatremia From Ingestion of One's Own Urine
title_fullStr Case Report: Severe Hypernatremia From Ingestion of One's Own Urine
title_full_unstemmed Case Report: Severe Hypernatremia From Ingestion of One's Own Urine
title_short Case Report: Severe Hypernatremia From Ingestion of One's Own Urine
title_sort case report: severe hypernatremia from ingestion of one's own urine
topic Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9240661/
https://www.ncbi.nlm.nih.gov/pubmed/35783646
http://dx.doi.org/10.3389/fmed.2022.929180
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