The Mount Sinai Journal of Medicine

 

Volume 73 Number 7
November 2006
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Tuberculous Meningitis Presenting with Unusually Severe Hyponatremia 1029-1030
Bernardino Roca, M.D., Ph.D., and Daniel Bahamonde, M.D.

Infectious Disease Division, Hospital General of Castellon, Department of Medicine, University of Valencia, Spain.

Address all correspondence to Bernardino Roca, M.D., Ph.D., Catalunya, 33-A, 4. 12004 Castellon, Spain; e-mail: brocav@meditex.es.

Accepted for publication April 2006.

Abstract

We report a patient with tuberculous meningitis who presented with unusually severe hyponatremia, an electrolyte disorder that may cause symptoms similar to those of tuberculous meningitis. The hyponatremia was probably due to the syndrome of inappropriate antidiuretic hormone secretion, and resolved after instituting water restriction and antituberculous medication.

Key Words

Meningitis, hyponatremia, tuberculosis.


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