■在评估电解质紊乱的同时识别肺部病理对于优化患者管理至关重要。在结核病流行地区工作的医生应将这种病理视为电解质失衡的差异。
■低钠血症,常见的电解质不平衡,可能源于各种潜在的病因,如利尿剂,腹泻,呕吐,充血性心力衰竭,肝脏和肾脏疾病。我们提供了一名74岁男子的病例报告,强调了肺结核(TB)与低钠血症的发展之间的关系。GeneXpert对患者痰液样本进行分析,发现潜在的活动性肺结核是低钠血症的原因。患者开始接受抗结核治疗,同时开始限制液体和补充钠以纠正电解质失衡。在接下来的3天里,患者表现出低钠血症消退的临床改善。该病例还强调了将TB视为低钠血症患者的潜在病因的重要性。尤其是在流行地区。进一步的研究是必要的,以探索连接肺结核和低钠血症的机制途径,帮助开发有针对性的治疗干预措施。
UNASSIGNED: Identifying pulmonary pathology while evaluating electrolyte disorders is crucial for optimal patient management. Physicians working in endemic regions of tuberculosis should consider this pathology as a differential for electrolyte imbalances.
UNASSIGNED: Hyponatremia, a common electrolyte imbalance, can arise from various underlying etiologies such as diuretics, diarrhea, vomiting, congestive heart failure, and liver and renal disease. We present a
case report of a 74-year-old man highlighting the association between pulmonary tuberculosis (TB) and the development of hyponatremia. GeneXpert assay of the patient\'s sputum sample led to the identification of underlying active pulmonary TB as the cause of hyponatremia. The patient was started on anti-TB therapy, and concurrent fluid restriction and sodium supplementation were initiated to correct the electrolyte imbalance. Over the next 3 days, the patient demonstrated clinical improvement with the resolution of hyponatremia. This
case also highlights the importance of considering TB as a potential etiology in patients presenting with hyponatremia, especially in endemic areas. Further research is warranted to explore the mechanistic pathways linking pulmonary TB and hyponatremia, aiding in the development of targeted therapeutic interventions.