Water intoxication and rhabdomyolysis

Jpn J Med. 1990 Jan-Feb;29(1):52-5. doi: 10.2169/internalmedicine1962.29.52.

Abstract

A 44-year-old woman was admitted because of stupor. She had consumed 3 liters of water due to thirst after drinking alcohol. Laboratory findings on admission revealed marked hyponatremia (sodium: 115 mEq/l). She was diagnosed as having water intoxication. She recovered from her hyponatremia upon excretion of a large amount of hypotonic urine. Subsequently, however, her serum creatine phosphokinase was markedly elevated at 28,650 IU/l, and her serum myoglobin reached 2,760 ng/ml. The relationship between the occurrence of hyponatremia secondary to water intoxication and rhabdomyolysis was suggested.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Creatine Kinase / blood
  • Creatine Kinase / metabolism
  • Female
  • Hospitalization
  • Humans
  • Hyponatremia / complications*
  • Hyponatremia / diagnostic imaging
  • Myoglobin / metabolism
  • Radionuclide Imaging
  • Rhabdomyolysis / diagnostic imaging
  • Rhabdomyolysis / etiology*
  • Tomography, X-Ray Computed
  • Water Intoxication / complications*
  • Water Intoxication / diagnostic imaging

Substances

  • Myoglobin
  • Creatine Kinase