A Case of Cerebral salt Wasting Syndrome with Pseudomonas Meningitis after Removal of Pituitary Adenoma.
- Author:
Dong Yoon KIM
;
Byung Yi AHN
;
Duk Soo CHO
;
Se Hwa KIM
;
Kwi Wan KIM
;
Jong Phil EUN
- Publication Type:Case Report
- Keywords:
Cerebral salt wasting syndrome;
Hyponatremia;
Bacterial meningitis
- MeSH:
Humans;
Hyponatremia;
Meningitis*;
Meningitis, Bacterial;
Natriuretic Peptide, Brain;
Pituitary Neoplasms*;
Pseudomonas aeruginosa;
Pseudomonas*;
Wasting Syndrome*
- From:Journal of Korean Society of Endocrinology
1997;12(4):609-613
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Hyponatremia is frequently seen in intracranial hemorrhagic patients and has been often attributed to inappropriate secretion of antidiuretic hormone. But in recent years, a number of studies have shown that hyponatremia in many patients with intracranial disease may actually be caused by cerebral salt wasting (CSW) syndrome and circulating Atrial natriuretic peptide (ANP) and Brain natriuretic peptide (BNP) are probably involved. This report describes a patient who developed bacterial meningites caused by pseudomonas aeruginosa and CSW syndrome after removal of pituitary adenoma. CSW syndrome resolved by fluid and salt replacement after 4 months.