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KMID : 0383819880350020133
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Tuberculosis and Respiratory Diseases
1988 Volume.35 No. 2 p.133 ~ p.137
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A Case of Bacterial Pneumonia Associated with SIADH
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박현/Hyun Park
정원태/이민기/강영진/박순규/신영기/Won Tae Chung/Min Ki Lee/Yeong Jin Kang/Soon Kew Park/Yeong Kee Shin
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Abstract
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The syndrome of inappropriate ADH secretion (known as SIADH) is characterized by
hyponatremia that result from watts retention attributable to inappropriate or excessive
secretion of ADH.
SIADH was originally described by Schwartz in 1957. It was more fully characterized
by Bartter and Schwartz in 1967, and it is now well known that inappropriate ADH
secretion may be associated with the disease process of host including CNS disorders,
pulmonary diseases, endocrine disorders. It may be also be secondary to medications and
tumors, notably bronchogenic carcinoma of the 'oat' cell type.
We experienced a case of bacterial pneumonia associated with SIADH who had
admitted with dyspnea and chest pain. The bacterial pneumonia was diagnosed by chest
P-A, chest CT, and sputum culture and treated with antibiotics. Also SIADH was
diagnosed form hyponatremia, increased urinary sodium excretion, high urine osmolality
than that of plasma, and exclusion of other causes of hyponatremia and treated with
hypertonic solution and water restriction.
Described here a case of bacterial pneumonia associated with SIADH with some
review of literature.
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