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Acute water intoxication in an adult man: 'dental hyponatraemia' revisited
- Source :
- Clin Med (Lond)
- Publication Year :
- 2022
-
Abstract
- The differential diagnosis of hyponatraemia is notoriously wide. However, only a minority is acute, ie develops in less than 48 hours. We describe an unusual cause of water intoxication due to toothache. A 30-year-old man with no medical history of note presented in an acute confusional state. Laboratory results disclosed profound hyponatraemia. Urinary indices were consistent with overdrinking, but in the absence of a reliable history, other aetiologies had to be excluded. This case highlights the benefit of a structured approach in the assessment of electrolyte disturbances.
Details
- ISSN :
- 14734893
- Volume :
- 22
- Issue :
- 4
- Database :
- OpenAIRE
- Journal :
- Clinical medicine (London, England)
- Accession number :
- edsair.doi.dedup.....37e913b650167e00b64b72c116cfa384