SIADH in COVID 19 infection, an association or cause : A case report

Authors

  • Karishma Shamarukh Intensivist, Covid Intensive Care Unit, United Hospital Limited, Dhaka 1212, Bangladesh
  • Sharmin Rahman Specialist, Internal Medicine United hospital Ltd, Dhaka, Bangladesh
  • Umme Kulsum Chy Junior Consultant, General ICU, United Hospital Ltd, Dhaka, Bangladesh
  • Amina Sultana Associate Consultant, In charge Covid ICU, United Hospital Ltd, Dhaka, Bangladesh
  • Mohammad Omar Faruq Chief Consultant, General ICU & Emergency, United Hospital Ltd, Dhaka, Bangladesh

DOI:

https://doi.org/10.3329/bccj.v8i2.50033

Keywords:

Hyponatraemia, SARS Cov-2, plasma osmolality, SIADH, urinary sodium

Abstract

One of the leading cause of hyponatremia is syndrome of inappropriate antidiuretic hormone secretion (SIADH). Various etiologies of hyponatraemia have been observed till today but its association with Covid leading to SIADH is rare. Therefore, we present a case where SIADH was associated with Covid-19 pneumonia. This was a case of a 66 years old male with multiple co-morbidities presenting with symptoms of Covid infection including generalized weakness. After confirming Covid 19 infection management was started accordingly but patient’s weakness seemed to increase. He was found to have low sodium level of 105 mmol /L and investigations confirmed that he was having SIADH. He was treated with hypertonic saline, fluid restriction and his symptoms and laboratory parameters gradually improved.

Bangladesh Crit Care J September 2020; 8(2): 126-128

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Published

2020-11-01

How to Cite

Shamarukh, K., Rahman, S., Chy, U. K., Sultana, A., & Faruq, M. O. (2020). SIADH in COVID 19 infection, an association or cause : A case report. Bangladesh Critical Care Journal, 8(2), 126–128. https://doi.org/10.3329/bccj.v8i2.50033

Issue

Vol. 8 No. 2 (2020)

Section

Case Reports

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