Inappropriate antidiuretic hormone secretion. Occurrence in a patient with Rocky Mountain spotted fever.
Publication
, Journal Article
Sexton, DJ; Clapp, J
Published in: Arch Intern Med
March 1977
A 51-year-old man with serologically confirmed Rocky Mountain spotted fever was believed to have inappropriate antidiuretic hormone (ADH) secretion. He was observed for four days in the hospital until the correct diagnosis was made. During this period, he progressively became more hyponatremic, despite a low BUN level and the administration of large amounts of sodium and water. At the time, his serum sodium concentration was 117 mEq/liter, and his urine was hypertonic to that of serum. Thereafter, his serum sodium level rose with fluid restriction. Rickettsia-induced CNS damage may have lead to the inappropriate ADH release that was observed in this patient.
Duke Scholars
Published In
Arch Intern Med
DOI
ISSN
0003-9926
Publication Date
March 1977
Volume
137
Issue
3
Start / End Page
362 / 363
Location
United States
Related Subject Headings
- Vasopressins
- Sodium
- Rocky Mountain Spotted Fever
- Middle Aged
- Male
- Hyponatremia
- Humans
- General & Internal Medicine
- 3202 Clinical sciences
- 11 Medical and Health Sciences
Citation
APA
Chicago
ICMJE
MLA
NLM
Sexton, D. J., & Clapp, J. (1977). Inappropriate antidiuretic hormone secretion. Occurrence in a patient with Rocky Mountain spotted fever. Arch Intern Med, 137(3), 362–363. https://doi.org/10.1001/archinte.137.3.362
Sexton, D. J., and J. Clapp. “Inappropriate antidiuretic hormone secretion. Occurrence in a patient with Rocky Mountain spotted fever.” Arch Intern Med 137, no. 3 (March 1977): 362–63. https://doi.org/10.1001/archinte.137.3.362.
Sexton DJ, Clapp J. Inappropriate antidiuretic hormone secretion. Occurrence in a patient with Rocky Mountain spotted fever. Arch Intern Med. 1977 Mar;137(3):362–3.
Sexton, D. J., and J. Clapp. “Inappropriate antidiuretic hormone secretion. Occurrence in a patient with Rocky Mountain spotted fever.” Arch Intern Med, vol. 137, no. 3, Mar. 1977, pp. 362–63. Pubmed, doi:10.1001/archinte.137.3.362.
Sexton DJ, Clapp J. Inappropriate antidiuretic hormone secretion. Occurrence in a patient with Rocky Mountain spotted fever. Arch Intern Med. 1977 Mar;137(3):362–363.
Published In
Arch Intern Med
DOI
ISSN
0003-9926
Publication Date
March 1977
Volume
137
Issue
3
Start / End Page
362 / 363
Location
United States
Related Subject Headings
- Vasopressins
- Sodium
- Rocky Mountain Spotted Fever
- Middle Aged
- Male
- Hyponatremia
- Humans
- General & Internal Medicine
- 3202 Clinical sciences
- 11 Medical and Health Sciences