Journal of Agromedicine and Medical Sciences
Vol 9 No 3 (2023)

Hyponatremia in Young Patients with Pulmonary Tuberculosis and Tuberculous Meningoencephalitis

Muhammad Iqbal Fanani (Department of Emergency Soebandi Regional Hospital, Jl. DR. Soebandi)
Komang Yunita Wiryaning Putri (Department of Neurology Soebandi Regional Hospital)
Retna Dwi Puspitarini (Department of Pulmonology Soebandi Regional Hospital)
Ali Santosa (Faculty of Medicine, Jember University)
Indah Kusuma Wardani (Department of Neurology, Airlangga University)



Article Info

Publish Date
31 Oct 2023

Abstract

Pulmonary tuberculosis (PTB) is an uncommon respiratory infection that rarely leads to the development of hyponatremia, a condition characterized by low levels of sodium in the blood. In most cases symptoms andiated hyponatremia are mild to moderate, often lacks noticeable symptoms, and can be effectively reversed through treatment with anti-TB medications. Hyponatremia is diagnosed when the serum sodium level falls below 135 mmol/L, and it is considered severe when the level drops below 125 mmol/L. Among electrolyte imbalances, hyponatremia is one of the most frequently observed, with a prevalence ranging from 1 to 4% in its severe manifestation. This journal reports the case of a male patient who presented with decreased consciousness, suspected to be associated with moderate hyponatremia, tuberculous meningoencephalitis, pulmonary tuberculosis, and sinus bradycardia. The patient's symptoms associated with hyponatremia were relatively mild, prompting the need for further evaluation to ascertain the root cause of the electrolyte imbalance. This is particularly important for patients with suspected tuberculosis who are also experiencing complications related to hyponatremia.

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Journal Info

Abbrev

JAMS

Publisher

Subject

Health Professions

Description

Jurnal Agromedicine and Medical Sciences (AMS) adalah jurnal berkala empat bulan (Februari, Juni dan Oktober) yang berisi berbagai artikel dalam bentuk penelitian, tinjauan sistematis dan laporan kasus dalam bidang kedokteran dengan fokus pada ilmu-ilmu kedokteran dasar, kedokteran klinis dan ...