Rhabdomyolysis in the Setting of Severe Hyponatremia: A Case Report.
electrolyte
hyponatremia
psychiatric comorbidities
rhabdomyolysis
sodium
Journal
Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737
Informations de publication
Date de publication:
Jun 2023
Jun 2023
Historique:
accepted:
05
06
2023
medline:
7
7
2023
pubmed:
7
7
2023
entrez:
7
7
2023
Statut:
epublish
Résumé
Electrolyte imbalances are common problems among hospitalized patients, and they can have severe consequences. Although rare, severe hyponatremia or low sodium (Na) levels have been associated with the occurrence of rhabdomyolysis. This is a case of a 45-year-old man who presented with confusion and lethargy and was found to have severe hyponatremia with an elevated creatine phosphokinase (CPK) level of 45,440 IU/L. With the administration of normal saline, the Na levels and CPK improved. He was discharged from the hospital in stable clinical condition. This case demonstrates the need for providers to monitor rhabdomyolysis markers in severe hyponatremia, as there is an observed association between the two and the sequelae can be severe.
Identifiants
pubmed: 37416016
doi: 10.7759/cureus.39993
pmc: PMC10321562
doi:
Types de publication
Case Reports
Langues
eng
Pagination
e39993Informations de copyright
Copyright © 2023, Mathew et al.
Déclaration de conflit d'intérêts
The authors have declared that no competing interests exist.
Références
Rev Bras Ter Intensiva. 2015 Jan-Mar;27(1):77-81
pubmed: 25909317
N Engl J Med. 2000 May 25;342(21):1581-9
pubmed: 10824078
Clin J Am Soc Nephrol. 2020 Feb 7;15(2):282-284
pubmed: 31601554
Nefrologia. 2011;31(4):500-2
pubmed: 21738260
Ann Pharmacother. 2005 Oct;39(10):1726-31
pubmed: 16131536
West J Med. 1979 May;130(5):459-61
pubmed: 516680
Ochsner J. 2015 Spring;15(1):58-69
pubmed: 25829882
Ren Fail. 2014 Jul;36(6):908-11
pubmed: 24673369
Am Fam Physician. 2015 Mar 1;91(5):299-307
pubmed: 25822386
Curr Neuropharmacol. 2015;13(3):395-406
pubmed: 26411967
Neurol India. 2019 Jul-Aug;67(4):1136-1137
pubmed: 31512658
Postgrad Med J. 1997 Aug;73(862):511-2
pubmed: 9307747
JRSM Open. 2016 May 03;7(5):2054270416629326
pubmed: 27186379
Best Pract Res Clin Endocrinol Metab. 2020 Sep;34(5):101469
pubmed: 33222764