A case with the syndrome of inappropriate antidiuretic hormone secretion associated with COVID-19 pneumonia

Öz

Syndrome of inappropriate antidiuretic hormone secretion (SIADH) is one of the most common causes of hyponatremia in hospitalized patients. Since there are several etiologies of hyponatremia, it may be difficult to identify and treat the etiology. Several infectious diseases have been reported to cause SIADH. However, hyponatremia and SIADH induced by Coronavirus 2019 disease (COVID-19) have been reported in several recent case reports. However, our case admitted to hospital with the classic symptoms of COVID-19 pneumonia including cough, dyspnea and fever at his first admission, and with the clinical symptoms of hyponatremia, including weakness and general condition disorderat his second admission. Our aim is to emphasize that hyponatremia and SIADHmay be observed in our COVID-19 patient.

Anahtar Kelimeler

• COVİD-19
• hyponatremia
• SIADH

COVID-19 pnömonisi ile ilişkili uygunsuz antidiüretik hormon salınım sendromu olgusu

Öz

Uygunsuz antidiüretik hormon salınım sendromu (UADHSS), hastanede yatan hastalarda hiponatreminin en sık nedenlerinden biridir. Hiponatreminin etiyolojisinde birçok neden olmasından dolayı sebebinin bulunup  tedavi edilmesinde güçlük yaşanabilmektedir. UADHSS’a neden olabilecek birçok infeksiyon hastalığı bildirilmiştir. Bununla birlikte Koronavirüs 2019 hastalığı (COVID-19) ile ilişkili hiponatremi ve UADHSS son zamanlarda birkaç olgu raporunda belirtilmiştir. Bizim olgumuzda ise ilk hastaneye başvuru sırasında COVID-19 pnömonisinin klasik semptomları olan öksürük, nefes darlığı ve ateş şikayeti, ikinci başvurusunda ise hiponatreminin klinik semptomlarından olan halsizlik, genel durum bozukluğu görülmekteydi. COVID-19 olan bir hastada hiponatremi ve UADHSS’nın görülebileceğini vurgulamayı amaçladık.

Anahtar Kelimeler

• COVİD-19
• hiponatremi
• UADHSS

Kaynakça

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