From Crashing Waves to Crashing Sodium: A Rare Case of Nearly Asymptomatic Severe Hyponatremia

Fawaz Hussain; Natalie E Ebeling-Koning; Joshua Carlson; Gillian A Beauchamp

doi:10.7759/cureus.41474

From Crashing Waves to Crashing Sodium: A Rare Case of Nearly Asymptomatic Severe Hyponatremia

Cureus. 2023 Jul 6;15(7):e41474. doi: 10.7759/cureus.41474. eCollection 2023 Jul.

Authors

Fawaz Hussain¹, Natalie E Ebeling-Koning², Joshua Carlson³, Gillian A Beauchamp²

Affiliations

¹ Internal Medicine, University of South Florida Morsani College of Medicine, Tampa, USA.
² Department of Emergency and Hospital Medicine, Lehigh Valley Health Network, Allentown, USA.
³ Department of Pulmonary and Critical Care Medicine, Lehigh Valley Health Network, Allentown, USA.

Abstract

Hyponatremia refers to an abnormally low serum sodium level, and it is the most common electrolyte disorder encountered in the clinical setting. Despite its prevalence, hyponatremia can be challenging to clinically identify in some cases due to non-specific symptom presentation. In this case report, we illustrate the rare clinical course of a nearly asymptomatic patient with severe hyponatremia and discuss potential explanations for this uncommon presentation.

Keywords: asymptomatic; case report; desmopressin; severe hyponatremia; siadh; sodium.

Publication types

Case Reports