He has been on treatment for hypertension and dyslipidemia during the previous three years. Can Diltiazem cause Hyponatremia? For grey cases of meningitis with seizures we start antibiotics with dexamethasone pending CSF reports. His cerebrospinal fluid and blood culture reports that arrived later did not show sepsis. Depending on the extent and duration of these signs and symptoms, your doctor may recommend seeking immediate medical care.Sodium plays a key role in your body.
An … For example, during the year preceding admission to the hospital, for 10 consecutive months he purchased the same drugs from a pharmacy showing the same old prescription. Intravenous normal saline 2-3 l per day was infused and adequate urine output was maintained. It is a common practice in Sri Lanka to avoid doctors’ fees in the private sector or to avoid long waiting and congestion of state hospitals like ours that provide free service including drugs. However he did not visit his GP regularly. Levothyroxine 25 micrograms (His TSH levels reduced progressively but not the CK levels. He had very high TSH levels (86.1 mIU/l, normal range 0.3–4.2 mIU/l). After 10 months his TSH, CK, and lipid profiles were normal; he was healthy except for a discoid eczematous rash developed in limbs that responded to topical steroids.This patient presented to us with history more suggestive of a neurological problem. {{configCtrl2.info.metaDescription}} This site uses cookies. Learn about symptoms, causes and treatment of this potentially dangerous condition. In Any author submitting a COVID-19 paper should notify us at The summery of the laboratory workup results of this patient.Atorvastatin-Diltiazem Combination Induced Rhabdomyolysis Leading to Diagnosis of HypothyroidismThe Teaching (General) Hospital-Kandy, Kandy, Sri Lanka

In younger patients with dyslipidemia we and most doctors known to us try to exclude hypothyroidism but this case shows there may be a place for doing that even in the case of older patients if there is some suspicion. All authors approved the manuscript after perusal.The authors sincerely thank all healthcare workers who contributed to management of this patient and all who helped them to publish the case report.Copyright © 2017 N. D. B. Ehelepola et al. A single copy of these materials may be reprinted for noncommercial personal use only. That may have contributed to nondetection of his hypothyroidism earlier. He had mentioned his memory impairment to his general practitioner (GP) during his last visit. This may be related to the effect of women's sex hormones on the body's ability to balance sodium levels.The following measures may help you prevent hyponatremia:Mayo Clinic does not endorse companies or products. At the time of admission he was on losartan, aspirin, hydrochlorothiazide, diltiazem, and atorvastatin. His antithyroid peroxidase antibody levels were also very high. 2004 Apr 15.

Pre‐existing asymptomatic hyponatremia is also a recognized risk factor for symptomatic hyponatremia. Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. However CSF protein level was 70 mg/dL. Atorvastatin induced rhabdomyolysis was diagnosed and that drug was stopped. Hyponatremia in the neurosurgical patient: diagnosis and management. After going home also his CK (creatine kinase) levels remained high; TSH (thyroid-stimulating hormone) level test was done and hypothyroidism was diagnosed. Hyponatremia is the term used when your blood sodium is too low. 23 Most symptomatic hyponatremic subjects suffered mental status change. Administration Type: Calcium channel blocker Dosage Forms: Routes of Administration: IV, PO Common Trade Names: Cardizem Indications Conversion of PSVT to NSR Slow RVR in a-fib/flutter Adult Dosing Loading dose = 0.25mg By continuing to browse this site you are agreeing to our use of cookies. We presume that patient’s complaining of memory impairment to his new GP led to replacement of metoprolol. It helps maintain normal blood pressure, supports the work of your nerves and muscles, and regulates your body's fluid balance.A normal blood sodium level is between 135 and 145 milliequivalents per liter (mEq/L). He did not complain of myalgia on or before admission. His lipid profile and TSH and CK values returned to normal in that order after a few months of levothyroxine therapy.Hashimoto’s thyroiditis, the commonest form of hypothyroidism, affects 2–4% of the population [Hashimoto’s encephalopathy (HE), also known in other names, is a rare syndrome associated with Hashimoto thyroiditis with high antithyroid peroxidase (TPO) antibody levels [A 72-year-old average-built male presented with the first attack of sudden onset weakness of both legs and inability to walk, impaired memory and confusion, and abnormal behavior for three days. Hyponatremia occurs when the concentration of sodium in your blood is abnormally low. "Mayo," "Mayo Clinic," "MayoClinic.org," "Mayo Clinic Healthy Living," and the triple-shield Mayo Clinic logo are trademarks of Mayo Foundation for Medical Education and Research. His hypokalemia was corrected with intravenous KCl infusions. Neurosurg Focus. We relied on that and did not order TSH test earlier. Those reports did not show evidence of any infection. On examination his pulse rate was 70/minute; blood pressure was His noncontrast computed tomography of brain was normal.