Hyponatremic Unconsciousness as a Presenting Symptom of COVID-19: A Case Series
Published: August 1, 2021 | DOI: https://doi.org/10.7860/JCDR/2021/50139.15214
Ajay Chauhan, Asmita Gupta, Kari Suguna, Shashikant Shukla, Parul Goyal
1. Professor, Department of Medicine, ABVIMS, Dr. RML Hospital, New Delhi, Delhi, India.
2. Postgraduate Resident, Department of Medicine, ABVIMS, Dr. RML Hospital, New Delhi, Delhi, India.
3. Postgraduate Resident, Department of Medicine, ABVIMS, Dr. RML Hospital, New Delhi, Delhi, India.
4. Postgraduate Resident, Department of Medicine, ABVIMS, Dr. RML Hospital, New Delhi, Delhi, India.
5. Professor, Department of Biochemistry, ABVIMS, Dr. RML Hospital, New Delhi, Delhi, India.
Correspondence
Dr. Ajay Chauhan,
Professor, Department of Medicine, ABVIMS, Dr. RML Hospital,
New Delhi-110001, Delhi, India.
E-mail: dr.ajay@rmlh.nic.in
The novel Coronavirus Disease-2019 (COVID-19) caused by Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) infection can present with a multitude of clinical symptoms. The virus, disease symptomatology, pathogenesis and complications are being studied and new concepts are evolving rapidly. The current worldwide situation caused by the disease makes it exceedingly important to recognise varied presentations of the disease. Three cases are being discussed hereby, wherein the patients presented with altered sensorium secondary to hyponatremia as the initial and only presentation of SARS-CoV-2 infection, in the absence of fever or any respiratory involvement. Acute symptomatic hyponatremia is an under-recognised presentation with only a few cases reported till date and needs further awareness and understanding.
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