독사 교상 환자에게 아나필락시스성 쇼크와 횡문근 융해증 치료 후 발생한 저나트륨혈증 = A case Report of Hyponatremia Resulting from Treatment of Anaphylaxis and

다국어 초록 (Multilingual Abstract)

Hyponatremia is a condition of body fluid and electrolyte
imbalance frequently encountered in clinical practice.
However, treatment with small amounts of furosemide has
in rare instances been reported to be associated with
hyponatremia. We report a case of a 50-years-old woman
who developed symptomatic hyponatremia after treatment
for anaphylaxis and rhabdomyolysis resulting from snake
bite.
The woman was presented with hypotension and hypersensitivity
induced by administration of antivenom after a
snake bite. She was treated by fluid therapy and administration
of epinephrine. One day after hospitalization, she
complained of abdominal pain, and her myoglobin level and
creatine phosphokinase concentration had increased. She
was treated with hydration and urine alkalization. Renal failure
and compartment syndrome were not complications of
the clinical course. However, pleural effusion and ascites
developed following fluid therapy. A small amount of
furosemide was administered for treatment, and one day
after administration, hyponatremia was found to have
developed.
The possibility of prescribing a small amout furosemide
should be considered for patients who are treated with fluid
therapy and require administration of antivenom for anaphylaxis
and rhabdomyolysis resulting from snake bite.

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