Acute neuroborreliosis presenting with severe hyponatremia: a case report

A 79-year-old Caucasian woman was admitted to the hospital with a 1-week history of general deterioration, describing malaise, abdominal pain, vomiting and diarrhea. Concomitantly, she presented with urinary retention. Laboratory tests revealed severe hyponatremia secondary to the syndrome of inappr...

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Autores principales:	Ismaïl Ould-Nana, Pierre-Yves Decleire, Sabina Boangher, Philippe Glorieux
Formato:	article
Lenguaje:	EN
Publicado:	Taylor & Francis Group 2021
Materias:	lyme hyponatremia doxycycline Internal medicine RC31-1245
Acceso en línea:	https://doaj.org/article/4dd6a5d23f8349f48fae71026e7767c1
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spelling	oai:doaj.org-article:4dd6a5d23f8349f48fae71026e7767c12021-11-17T14:21:57ZAcute neuroborreliosis presenting with severe hyponatremia: a case report2000-966610.1080/20009666.2021.1978153https://doaj.org/article/4dd6a5d23f8349f48fae71026e7767c12021-11-01T00:00:00Zhttp://dx.doi.org/10.1080/20009666.2021.1978153https://doaj.org/toc/2000-9666A 79-year-old Caucasian woman was admitted to the hospital with a 1-week history of general deterioration, describing malaise, abdominal pain, vomiting and diarrhea. Concomitantly, she presented with urinary retention. Laboratory tests revealed severe hyponatremia secondary to the syndrome of inappropriate antidiuretic hormone secretion (SIADH). Patient reported a tick bite 1 month earlier, followed by erythema migrans. The diagnosis of Lyme disease was immediately suspected and confirmed by positive IgM and IgG serology. Symptoms and electrolyte disturbances completely resolved with a 2-week course of doxycycline. This case highlights the need to consider osis as a cause of hyponatremia and SIADH in an endemic region.Ismaïl Ould-NanaPierre-Yves DecleireSabina BoangherPhilippe GlorieuxTaylor & Francis GrouparticlelymehyponatremiadoxycyclineInternal medicineRC31-1245ENJournal of Community Hospital Internal Medicine Perspectives, Vol 11, Iss 6, Pp 830-831 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	lyme hyponatremia doxycycline Internal medicine RC31-1245
spellingShingle	lyme hyponatremia doxycycline Internal medicine RC31-1245 Ismaïl Ould-Nana Pierre-Yves Decleire Sabina Boangher Philippe Glorieux Acute neuroborreliosis presenting with severe hyponatremia: a case report
description	A 79-year-old Caucasian woman was admitted to the hospital with a 1-week history of general deterioration, describing malaise, abdominal pain, vomiting and diarrhea. Concomitantly, she presented with urinary retention. Laboratory tests revealed severe hyponatremia secondary to the syndrome of inappropriate antidiuretic hormone secretion (SIADH). Patient reported a tick bite 1 month earlier, followed by erythema migrans. The diagnosis of Lyme disease was immediately suspected and confirmed by positive IgM and IgG serology. Symptoms and electrolyte disturbances completely resolved with a 2-week course of doxycycline. This case highlights the need to consider osis as a cause of hyponatremia and SIADH in an endemic region.
format	article
author	Ismaïl Ould-Nana Pierre-Yves Decleire Sabina Boangher Philippe Glorieux
author_facet	Ismaïl Ould-Nana Pierre-Yves Decleire Sabina Boangher Philippe Glorieux
author_sort	Ismaïl Ould-Nana
title	Acute neuroborreliosis presenting with severe hyponatremia: a case report
title_short	Acute neuroborreliosis presenting with severe hyponatremia: a case report
title_full	Acute neuroborreliosis presenting with severe hyponatremia: a case report
title_fullStr	Acute neuroborreliosis presenting with severe hyponatremia: a case report
title_full_unstemmed	Acute neuroborreliosis presenting with severe hyponatremia: a case report
title_sort	acute neuroborreliosis presenting with severe hyponatremia: a case report
publisher	Taylor & Francis Group
publishDate	2021
url	https://doaj.org/article/4dd6a5d23f8349f48fae71026e7767c1
work_keys_str_mv	AT ismailouldnana acuteneuroborreliosispresentingwithseverehyponatremiaacasereport AT pierreyvesdecleire acuteneuroborreliosispresentingwithseverehyponatremiaacasereport AT sabinaboangher acuteneuroborreliosispresentingwithseverehyponatremiaacasereport AT philippeglorieux acuteneuroborreliosispresentingwithseverehyponatremiaacasereport
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Acute neuroborreliosis presenting with severe hyponatremia: a case report

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