CEREBRAL SALT WASTING SYNDROME DUE TO TUBERCULOUS MENINGITIS, A CASE REPOR

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AHMAD SYED; MAJID ZAIN; MEHDI MEHWISH; MUBARAK MUHAMMED

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Journal Paper

Paper Information

Journal: JOURNAL OF RENAL INJURY PREVENTION Year:2016 | Volume:5 | Issue:1 Page(s): 53-54

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Title

CEREBRAL SALT WASTING SYNDROME DUE TO TUBERCULOUS MENINGITIS, A CASE REPOR

Author(s)

AHMAD SYED | MAJID ZAIN | MEHDI MEHWISH | MUBARAK MUHAMMED | Issue Writer Certificate

Keywords

CEREBRAL SALT WASTING SYNDROME

HYPONATREMIA

TUBERCULOSIS MENINGITIS

SIADH

Abstract

A 58-year-old male presented with fever, nausea, and vomiting since 15 days along with irritability and confusion since 5 days. His laboratory reports showed low serum sodium, serum osmolality and uric acid. Computerized tomography (CT) scan of brain revealed age-related changes. While on lumbar puncture (LP) and cerebrospinal fluid (CSF) examination, CSF protein, lactate dehydrogenase (LDH) and total leukocyte count (predominant lymphocytes) were all increased. On his 14th day of admission, his serum sodium was 116 mEq/l and he had a high urine output. Fluid restriction was tried in order to rule out syndrome of inappropriate antidiuretic hormone secretion (SIADH) but the patient did not respond to it. Keeping in view the above findings, a final diagnosis of tuberculous meningitis leading to CEREBRAL SALT WASTING SYNDROME was made. The patient was started on 3% hypertonic saline, mineralocorticoids and anti-tuberculous therapy (ATT), to which he responded favorably and was later discharged.

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APA: Copy

AHMAD, SYED, MAJID, ZAIN, MEHDI, MEHWISH, & MUBARAK, MUHAMMED. (2016). CEREBRAL SALT WASTING SYNDROME DUE TO TUBERCULOUS MENINGITIS, A CASE REPOR. JOURNAL OF RENAL INJURY PREVENTION, 5(1), 53-54. SID. https://sid.ir/paper/341020/en

Vancouver: Copy

AHMAD SYED, MAJID ZAIN, MEHDI MEHWISH, MUBARAK MUHAMMED. CEREBRAL SALT WASTING SYNDROME DUE TO TUBERCULOUS MENINGITIS, A CASE REPOR. JOURNAL OF RENAL INJURY PREVENTION[Internet]. 2016;5(1):53-54. Available from: https://sid.ir/paper/341020/en

IEEE: Copy

SYED AHMAD, ZAIN MAJID, MEHWISH MEHDI, and MUHAMMED MUBARAK, “CEREBRAL SALT WASTING SYNDROME DUE TO TUBERCULOUS MENINGITIS, A CASE REPOR,” JOURNAL OF RENAL INJURY PREVENTION, vol. 5, no. 1, pp. 53–54, 2016, [Online]. Available: https://sid.ir/paper/341020/en

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