Syndrome of Inappropriate Secretion of Antidiuretic Hormone and Thrombocytopenia Caused by Cytomegalovirus Infection In a Young Immunocompetent Woman
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概要
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We report the first case of the syndrome of inappropriate secretion of antidiuretic hormone (SIADH) associated with cytomegalovirus (CMV) infection. A 32-year-old woman was admitted to our hospital because of pandysautonomic signs and symptoms. Thrombocytopenia and hyponatremia were present. Serum anti-CMV IgM and IgG antibodies were positive. Despite hyponatremia, urinary osmolality exceeded plasma osmolality and plasma vasopressin levels related to plasma osmolality were high. Restriction of water intake and administration of dimethylchlorotetracycline improved hyponatremia, suggesting this patient had SIADH. In this patient, SIADH may have been caused by acute pandysautonomia that developed following CMV infection.
- 社団法人 日本内科学会の論文
著者
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Sato Hiroe
Department Of Internal Medicine Nagaoka Red Cross Hospital
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Saeki Takako
Department Of Internal Medicine Nagaoka Red Cross Hospital
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Kamoi Kyuzi
Department Of Internal Medicine Division Of Endocrine And Metabolism Nagaoka Red Cross Hospital
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Gejyo Fumitake
Department Of Clinical And Laboratory Medicine Fukui Medical University
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Yamazaki Hajime
Department Of Anesthesiology Dokkyo University School Of Medicine
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Miyamura Syoji
Department Of Internal Medicine Nagaoka Red Cross Hospital
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Koike Tadashi
Department Of Cardiovascular Medicine National Cerebral And Cardiovascular Research Center
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GEJYO Fumitake
Department of Internal Medicine, Niigata University School of Medicine
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