Interesting case report
Survival of acute
hypernatremia due to massive soy sauce ingestion
A 19-year-old man presented to the Emergency
Department in a comatose state with seizure-like activity 2 hours after
ingesting a quart of soy sauce. He was administered 6 L of free water over 30
min and survived neurologically intact without clinical sequelae. Corrected for
hyperglycemia, the patient's peak serum sodium was 196 mmol/L, which, to our knowledge, is
the highest documented level in an adult patient to survive an acute sodium
ingestion without neurologic deficits.
Reference:
Carlberg DJ, Borek HA, Syverud SA,
Holstege CP. - Survival of acute hypernatremia due to massive soy sauce
ingestion. - J Emerg Med. 2013 Aug;45(2):228-31. , Epub 2013 Jun 2.
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