Cerebral infarction and cerebral salt wasting syndrome in a patient with tuberculous meningoencephalitis

A 38-year old female with underlying systemic lupus erythematosus was admitted with tuberculous meningoencephalitis. After an initial good response to anti-tuberculous treatment, she developed cerebral infarction and profound hyponatremia. This was due to cerebral salt wasting syndrome, which has on...

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Veröffentlicht in:	Southeast Asian journal of tropical medicine and public health 2003-09, Vol.34 (3), p.636-640
Hauptverfasser:	LOO, K. L, RAMACHANDRAN, R, ABDULLAH, B. J, CHOW, S. K, GOH, E. M. L, YEAP, S. S
Format:	Artikel
Sprache:	eng
Schlagworte:	Adult Bacterial diseases Biological and medical sciences Cerebral Infarction - complications Cerebral Infarction - microbiology Diagnosis, Differential Female Human bacterial diseases Humans Hyponatremia - diagnosis Hyponatremia - etiology Hyponatremia - microbiology Inappropriate ADH Syndrome - diagnosis Infectious diseases Lupus Erythematosus, Systemic - complications Lupus Erythematosus, Systemic - diagnosis Medical sciences Meningoencephalitis - complications Meningoencephalitis - diagnosis Meningoencephalitis - microbiology Neurology Tuberculosis and atypical mycobacterial infections Tuberculosis, Meningeal - complications Tuberculosis, Meningeal - diagnosis Vascular diseases and vascular malformations of the nervous system
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Zusammenfassung:	A 38-year old female with underlying systemic lupus erythematosus was admitted with tuberculous meningoencephalitis. After an initial good response to anti-tuberculous treatment, she developed cerebral infarction and profound hyponatremia. This was due to cerebral salt wasting syndrome, which has only previously been described in 2 cases. The difficulties in diagnosis and management of this case are discussed.
ISSN:	0125-1562