Komang Yunita Wiryaning Putri
Department of Neurology Soebandi Regional Hospital, Jl. DR. Soebandi No.124, Jember, East Java 68111

Retna Dwi Puspitarini
Department of Pulmonology Soebandi Regional Hospital, Jl. DR. Soebandi No.124, Jember, East Java 68111

Ali Santosa
Faculty of Medicine, Jember University, Jl. Mastrip No.69, Jember, East Java 68124

Indah Kusuma Wardani
Department of Neurology, Airlangga University, Jl. Mayjen Prof. Dr. Moestopo No.47, Surabaya, East Java 60132

DOI: https://doi.org/10.19184/ams.v9i3.41104

Abstract

Pulmonary tuberculosis (PTB) is an uncommon respiratory infection that rarely leads to the development of hyponatremia, a condition characterized by low levels of sodium in the blood. In most cases, symptoms of andiated hyponatremia are mild to moderate, often lack noticeable symptoms, and can be effectively reversed through treatment with anti-TB medications. Hyponatremia is diagnosed when the serum sodium level falls below 135 mmol/L, and it is considered severe when the level drops below 125 mmol/L. Hyponatremia is one of the most frequently observed among electrolyte imbalances with a prevalence ranging from 1 to 4% in its severe manifestation. This journal reports the case of a male patient who presented with decreased consciousness, suspected to be associated with moderate hyponatremia, tuberculous meningoencephalitis, pulmonary tuberculosis, and sinus bradycardia. The patient's symptoms associated with hyponatremia were relatively mild, prompting further evaluation to ascertain the root cause of the electrolyte imbalance. This is particularly important for patients with suspected tuberculosis who are also experiencing complications related to hyponatremia.

Keyword: Tuberculosis Infection; Hyponatremia; SIADH.

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