| SIADH and Guillain-Barre Syndrome Associated with Pulmonary Tuberculosis |
| Mi Hyun Yu, M.D., Jai Won Chang, M.D., Won Seok Yang, M.D., Soon Bae Kim, M.D. Sang Koo Lee, M.D., Su Kil Park, M.D. and Jung Sik Park, M.D. |
| Department of Internal Medicine, Ulsan University College of Medicine, Asan Medical Center, Seoul, Korea |
| 증례 : 폐결핵과 동반되어 발생한 SIADH 및 Guillain-Barre Syndrome |
| 유미현•장재원•양원석•김순배•이상구•박수길•박정식 |
| 울산대학교 의과대학 서울아산병원 신장내과 |
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| Abstract |
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Hyponatremia is one of the most common electrolyte disturbances in nephrologic clinical setting. SIADH is one of the causes of hyponatremia and can be accompanied with various conditions such as malignancies, infections and nervous system diseases.
Guillain-Barre syndrome is an acute inflammatory polyneuropathy. It is reported that SIADH can be accompanied with Guillain-Barre syndrome although the mechanism is unclear. Symptoms of Guillain-Barre syndrome such as general weakness, decreased consciousness, and seizure are similar to those of hyponatremia. Thus the diagnosis of Guillain-Barre syndrome can be delayed if they coexist. Because Guillain-Barre syndrome leads to severe respiratory failure in its disease course and mechanical ventilatory assistance is mandatory for such cases, early diagnosis and treatment is critical.
Korea is still endemic area for tuberculosis and clinicians often experience pulmonary tuberculosis in practice. But pulmonary tuberculosis-associated SIADH and Guillain-Barre syndrome were not reported in Korea. So far, 2 cases of gastrointestinal infection-associated SIADH and Guillain-Barre syndrome were reported.
Hence, authors report here the case of SIADH associated Guillain-Barre syndrome associated with pulmonary tuberculosis.
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| Key Words:
Hyponatremia, SIADH, Pulmonary tuberculosis, Guillain-Barre syndrome |
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