Unusual cause of hyponatremia in a young patient with varicella zoster infection: a case report

Abstract

Hyponatremia is one of the more common electrolyte abnormalities in clinical medicine. Some sources estimate that the number of patients who experience sodium levels of <135meq/L can be as high as 30% of all hospitalized patients. SIADH is the usual cause of Hyponatremia in patients with Varicella Zoster infection. Severe hyponatremia can cause substantial morbidity and mortality. The most common manifestations are CNS-related and include lethargy, confusion, disorientation and agitation. Serious manifestations include seizures, hypoxia and coma. We present here a report of an adult patient who presented with Varicella Zoster infection with seizures, agitation and unresponsiveness due to hyponatremia. Patient was on homeopathic medications and salt free diet since 3 days and was advised to take only free water to prevent exacerbations of skin lesions.