Case Report: Severe Hypernatremia From Ingestion of One's Own Urine

Frontiers in Medicine

article

Waye Hann Kang¹  N. A. Kamaruddin²  Norlela Sukor² 

[1] Department of Medicine, Faculty of Medicine and Health Sciences, University Tunku Abdul Rahman;Department of Medicine, Faculty of Medicine, Universiti Kebangsaan Malaysia Medical Centre

关键词: hypernatremia;    urophagia;    urine ingestion;    electrolytes;    osmotic diuresis;   

DOI  :  10.3389/fmed.2022.929180

学科分类：社会科学、人文和艺术（综合）

来源: Frontiers

【 摘 要 】

An often unrecognized cause of hypernatremia is the ingestion of fluids or substances with high osmolality. We hereby report a case of severe hypernatremia with acute kidney injury in a severely debilitated patient with acute gouty arthritis who resorted to ingesting his own urine. Hypernatremia induced by drinking urine could be attributed to many underlying mechanisms, one of the important possible causes is the resultant high serum urea that leads to significant osmotic diuresis and a further increase in free water clearance. To the best of our knowledge this is the first case report that describes this unique cause of hypernatremia.

【 授权许可】

CC BY