ArticleAcute medicine & surgery
Fatal acute hypernatremia resulting from a massive intake of seasoning soy sauce.
Article in Acute medicine & surgery. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.
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Who cites it
7 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.
- Treatment of acute hypernatremia caused by sodium overload in adults: A systematic review.Medicine · 2022Pooled it
- Prognostic impact of hypernatremia for septic shock patients in the intensive care unit.World journal of clinical cases · 2025Article
- Diagnostic validity and solute-corrected prevalence for hyponatremia and hypernatremia among 1 813 356 admissions.Clinical kidney journal · 2024Article
- Severe hypernatremia in hyperglycemic conditions; managing it effectively: A case report.World journal of critical care medicine · 2023Article
- Downregulation of inflammatory erectile dysfunction byToxicology reports · 2023Article
- Dietary Reference Intakes of sodium for Koreans: focusing on a new DRI component for chronic disease risk reduction.Nutrition research and practice · 2022Review
- Case Report: Severe Hypernatremia From Ingestion of One's Own Urine.Frontiers in medicine · 2022Article
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundHypernatremia due to salt poisoning is clinically rare and standard care procedures have not been established. We report a case of salt poisoning due to massive intake of seasoning soy sauce. CASE PRESENTATION: A 40-year-old woman presented to the emergency department with seizures and remarkable hypernatremia with a serum sodium concentration of 183 mEq/L. The initial brain computed tomography scan showed brain shrinkage, which could occur during the acute phase of hypernatremia. We reduced her serum sodium level rapidly, rather than at the recommended slow rate. On day 3, the patient's brain computed tomography scan showed widespread low-density areas and edema. The patient died 8 days after admission.
conclusionAfter reviewing instances of resuscitation following salt intoxication, aggressive rapid correction of serum sodium concentration should only be considered in acute phases of hypernatremia within a few hours from ingestion, and 2-3 h could be one of the criteria.
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