A Case of Severe Hypernatremia and Rhabdomyolysis Treated by Hemodialysis without Sequelae

Basit Öğe Kaydı
dc.authoridTURGUT, FARUK/0000-0003-1910-7433
dc.contributor.authorYaprak, Mustafa
dc.contributor.authorTurgut, Faruk
dc.contributor.authorSunger, Osman
dc.contributor.authorDayanan, Ramazan
dc.contributor.authorSikgenc, Mehmet Mahfuz
dc.contributor.authorAkin, Selcuk
dc.contributor.authorDegirmen, Elif
dc.date.accessioned2024-09-18T20:56:57Z
dc.date.available2024-09-18T20:56:57Z
dc.date.issued2016
dc.departmentHatay Mustafa Kemal Üniversitesien_US
dc.description.abstractHypernatremia is defined as plasma sodium concentration above 145 mEq/L. While severe symptoms are generally seen in case of plasma sodium concentration of 158 mEq/L, higher levels above 180 mEq/L are associated with a high mortality rate. Herein, a case of severe hypernatremia with a sodium level of 189 mEq/L and rhabdomyolysis treated by hemodialysis was presented. A 24-year-old woman was brought to the emergency department because of impaired general condition and confusion. She had a history of tuberculosis meningitis 1.5 years ago and left hemiplegia. Urea, creatinine, sodium, LDH and CK were 95 mg/dL, 2.6 mg/dL, 189 mEq/L, 1630 U/L, and 12601 U/L, respectively. The patient was diagnosed with hypernatremia, rhabdomyolysis and acute renal failure. Hemodialysis was performed because of anuria, increased urea and creatinine levels and metabolic acidosis. On the 5th day, the sodium level was reduced to 140 mEq/L. She was discharged from hospital uneventfully after the acute renal failure improved. In conclusion, both hypernatremia itself and its quick correction carry a risk of high mortality and morbidity. Therefore, in patients with chronic hypernatremia and need of dialysis, dialysate sodium should be lower than 10 mEq/L of serum sodium level, and if this is impossible, the duration of dialysis and blood flow rate should be reduced.en_US
dc.identifier.doi10.5262/tndt.2016.22
dc.identifier.endpage106en_US
dc.identifier.issn1300-7718
dc.identifier.scopus2-s2.0-84963556434en_US
dc.identifier.scopusqualityN/Aen_US
dc.identifier.startpage103en_US
dc.identifier.urihttps://doi.org/10.5262/tndt.2016.22
dc.identifier.urihttps://hdl.handle.net/20.500.12483/12200
dc.identifier.volume25en_US
dc.identifier.wosWOS:000417359300022en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.language.isotren_US
dc.publisherTurk Nefroloji Diyaliz Transplantasyon Dergisien_US
dc.relation.ispartofTurkish Nephrology Dialysis and Transplantation Journalen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectSevere hypernatremiaen_US
dc.subjectRhabdomyolysisen_US
dc.subjectAcute renal failureen_US
dc.titleA Case of Severe Hypernatremia and Rhabdomyolysis Treated by Hemodialysis without Sequelaeen_US
dc.typeArticleen_US

Dosyalar

Koleksiyon

WoS İndeksli Yayınlar Koleksiyonu
Scopus İndeksli Yayınlar Koleksiyonu