Disorders of sodium balance in covid-19 patients: Two tunisian patients report

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Abstract

Coronavirus disease 2019 (COVID-19) was first reported in December 2019. The disease is caused by severe acute respiratory syndrome virus corona virus 2 (SARS-CoV-2). Mild respiratory symptoms are the most common manifestations of SARS-CoV-2, but new signs are constantly being discovered as it spreads. Disorders of sodium balance are increasingly described in patients with SARS-CoV-2. We report, here, the cases of two patients presented with COVID-19 and in whom we discovered sodium disorders. The first patient is a 74-year-old man who presented with fatal hypernatremia. The second patient is a 66-years-old man presented with COVID-19 and euvolemic hyponatremia attributed to syndrome of inappropriate anti-diuretic hormone secretion (SIADH). This hyponatremia persisted long after the respiratory signs disappeared. Sodium balance disorders are increasingly described in the literature; special attention should be paid to the electrolyte status of COVID-19 patients. Pathophysiological mechanisms associating SARS-CoV-2 with these disorders are being studied.

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Saad, G., Abdelkrim, A. B., El Abed, Y. H., Tahri, S., Gorchene, A., Maaroufi, A., … Ach, K. (2021). Disorders of sodium balance in covid-19 patients: Two tunisian patients report. Pan African Medical Journal, 39. https://doi.org/10.11604/pamj.2021.39.199.27626

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