Persistent Hyponatremia in Tuberculous Meningitis- Diagnostic Dilemma.

Sudha Reddy V R; Naveen Kumar B; Chinthana B S

doi:10.58739/jcbs/v11i1.6

Article

Persistent Hyponatremia in Tuberculous Meningitis- Diagnostic Dilemma.

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Journal of Clinical and Biomedical Sciences

DOI: 10.58739/jcbs/v11i1.6

Year: 2021, Volume: 11, Issue: 1, Pages: 33-35

Case Report

Persistent Hyponatremia in Tuberculous Meningitis- Diagnostic Dilemma.

Sudha Reddy V R^1*, Naveen Kumar B²,Chinthana B S³

1. Professor and HOD, Department of Paediatric, Sri Devaraj Urs Medical College, Sri Devaraj Urs Academy of Higher Education and Research, Tamaka, Kolar.
2. Senior Resident, Department of Pediatrics, Sri Devaraj Urs Medical College, Sri Devaraj Urs Academy of Higher Education and Research, Tamaka, Kolar.
3. Resident, Department of Pediatrics, Sri Devaraj Urs Medical College, Sri Devaraj Urs Academy of Higher Education and Research, Tamaka, Kolar.

*Corresponding Author
E-mail: [email protected]
Mobile No: 9980082440

This work is licensed under a Creative Commons Attribution 4.0 International License.

Abstract

Hyponatremia has been recognized as a serious complication in patients with tuberculous meningitis (TBM). The differential diagnoses of hyponatremia in TBM are adrenal insufficiency, Syndrome of Inappropriate Anti Diuretic Hormone (SIADH) secretion, and Cerebral Salt Wasting Syndrome (CSWS). Thorough clinical and laboratory examination is important to distinguish between SIADH and CSWS as attention to extracellular volume status is critical. Misdiagnosis of CSWS as SIADH can be fatal, as water restriction is detrimental to patients with CSWS.

Keywords: Tuberculous meningitis (TBM), Syndrome of inappropriate anti-diuretic hormone (SIADH) secretion, Cerebral Salt Wasting Syndrome (CSWS)