0
ARTICLE |

Fatal Acute Hypernatremia Caused by Massive Intake of Salt

Andres Raya, MD; Pilar Giner, MD; Pedro Aranegui, MD; Francisco Guerrero, MD; Guillermo Vazquez, MD
Arch Intern Med. 1992;152(3):640-646. doi:10.1001/archinte.1992.00400150144028.
Text Size: A A A
Published online

To the Editor.—  According to their cause, hypernatremic states can be classified into two groups. The first group, by far the more frequent, is due to the loss of simple water, or hypotonic liquid in the case of dehydration, usually in elderly people.1 The second, less frequent group, is related to the increase in salt intake, generally of an iatrogenic nature.2,3We are presenting a case of fatal hypernatremia caused by massive ingestion of salt.

Report of a Case.—  A 36-year-old woman, previously healthy, was brought in a comatose state to the emergency department of our hospital. Her family reported that, during the previous 24 hours, she had participated in a supposed "exorcism," during which she had ingested large quantities of sodium bicarbonate and salt (approximately 1 kg of salt dissolved in water). Physical examination showed a comatose patient with multifocal myoclonus, small and reactive pupils, presence of

Topics

Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

First Page Preview

View Large
/>
First page PDF preview

Figures

Tables

References

Correspondence

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Web of Science® Times Cited: 1

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();