Severe Hyponatremia after Colonoscopy Preparation in a Patient with the Acquired Immune Deficiency Syndrome

Salik, James M.; Kurtin, Paul
March 1985
American Journal of Gastroenterology;Mar1985, Vol. 80 Issue 3, p177
Academic Journal
Disseminated infections with cytomegalovirus have become an increasingly important cause of morbidity and mortality in patients with the acquired immune deficiency syndrome. Herein we describe a male homosexual with the acquired immune deficiency syndrome who became severely hyponatremic during bowel preparation for colonoscopy. Biochemical evidence of adrenal insufficiency and clinical evidence for cytomegalovirus colitis was found. We propose that the patient had clinically significant cytomegalovirus adrenalitis. A random urinary sodium concentration is suggested as a potential screening test before bowel preparation in such patients.


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