Low-solute hyponatremia in a kidney transplant recipient.
Clin Nephrol
; 99(6): 307-310, 2023 Jun.
Artículo
en Inglés
| MEDLINE | ID: covidwho-2281975
ABSTRACT
BACKGROUND AND AIMS:
Electrolyte and acid-base disturbances are common in kidney transplant recipients, but there are few reports of low-solute hyponatremia or beer potomania in this population. We report herein a case of low-solute hyponatremia in a kidney transplant recipient with impaired graft function, highlighting key issues in diagnosis and management of low-solute hyponatremia, as well as exploring the pathophysiology of hyponatremia after kidney transplantation. CASE PRESENTATION A 51-year-old man who had received a cadaveric renal transplant 18 years before presented with symptomatic hyponatremia and seizure. Workup for an underlying intracranial pathology was negative, and subsequent biochemical workup suggested low-solute hyponatremia with potomania, arising from dietary modifications taken by the patient while self-isolating during the COVID-19 pandemic. Correction of hyponatremia was successful with conservative management with close monitoring.CONCLUSION:
This case illustrates key points in the diagnosis and management of low-solute hyponatremia and highlights the pathophysiology of hyponatremia after kidney transplantation.
Texto completo:
Disponible
Colección:
Bases de datos internacionales
Base de datos:
MEDLINE
Asunto principal:
Trasplante de Riñón
/
COVID-19
/
Hiponatremia
Tipo de estudio:
Reporte de caso
/
Estudios diagnósticos
Límite:
Humanos
/
Masculino
/
Middle aged
Idioma:
Inglés
Revista:
Clin Nephrol
Año:
2023
Tipo del documento:
Artículo
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