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Severe Hyponatremia due to Phlegmonous Trismus
Joint Authors
Momota, Yoshihiro
Iseki, Tomio
Ohkubo, Tadashi
Source
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-12-24
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
We describe a patient with dysphagia and trismus associated with lower jaw inflammation due to phlegmon who developed severe hyponatremia from water intoxication due to excessive water intake after diaphoresis caused by abnormally hot weather.
A 63-year-old woman presented with severe swelling of the floor of the mouth and trismus.
As she had spasms and numbness of the extremities and restlessness and water intoxication caused by excessive water intake was suspected, she was hospitalized for the treatment of inflammation and electrolyte disorder.
Although swelling of the floor of the mouth subsided over time after antimicrobial therapy, vomiting, diarrhea, and numbness of the extremities continued.
On day 5 of hospitalization, severe vomiting and diarrhea recurred, and serum sodium levels decreased to 108 mEq/L.
Decrease in water intake is essential in the treatment of hyponatremia.
However, in patients with severe vomiting and diarrhea who can swallow only liquids because of hot weather and eating disorder, the risk of sodium depletion is high.
It is important to restore electrolyte balance and fluid volume through supplementation with sodium, chlorine, potassium, and glucose among others, the reduction of intravenous fluid volume, and diuresis in order to correct the sodium level slowly.
American Psychological Association (APA)
Momota, Yoshihiro& Iseki, Tomio& Ohkubo, Tadashi. 2014. Severe Hyponatremia due to Phlegmonous Trismus. Case Reports in Dentistry،Vol. 2014, no. 2014, pp.1-4.
https://search.emarefa.net/detail/BIM-1016915
Modern Language Association (MLA)
Momota, Yoshihiro…[et al.]. Severe Hyponatremia due to Phlegmonous Trismus. Case Reports in Dentistry No. 2014 (2014), pp.1-4.
https://search.emarefa.net/detail/BIM-1016915
American Medical Association (AMA)
Momota, Yoshihiro& Iseki, Tomio& Ohkubo, Tadashi. Severe Hyponatremia due to Phlegmonous Trismus. Case Reports in Dentistry. 2014. Vol. 2014, no. 2014, pp.1-4.
https://search.emarefa.net/detail/BIM-1016915
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1016915