Non-Cirrhotic Hyperammonemia In A Newly Diagnosed Diabetic Patient Presenting In Diabetic Ketoacidosis

Hyperammonemia, a known cause of encephalopathy, is commonly seen in patients with liver disease. Non-cirrhotic hyperammonemia is an uncommon condition. Patients with uncontrolled diabetes can have elevated levels of ammonia. Diabetic ketoacidosis is a life threatening complication in diabetes. This is a case of a middle-aged male who presented in encephalopathy. He was found to have diabetic ketoacidosis with hyperammonemia. Encephalopathy as a result of hyperammonemia in diabetes mellitus is a rare scenario.

Symptomatic Hyponatremia: A Consequence Of Acute Urinary Retention Due To Benign Prostatic Hyperplasia

Hyponatremia is a common disorder in the geriatric population. Patients can present in altered sensorium, seizures, and even coma. Syndrome of inappropriate antidiuretic hormone secretion (SIADH) and diuretic therapy are the common causes in the elderly. However, acute urinary retention due to benign prostatic hyperplasia (BPH) resulting in hyponatremia is a rare scenario. Here, we report the case of a 60-year-old male patient who developed hyponatremia following urinary retention due to benign prostatic hyperplasia (BPH); which is a rare scenario.