Acta clinica Croatica, Vol. 65. No. 2, 2026.
Recenzija, Prikaz slučaja
https://doi.org/10.20471/acc.2026.65.02.19
Akutna teška euvolemijska hiponatremija uzrokovana segmentnom plućnom tromboembolijom i komplicirana infekcijom COVID-19: prikaz slučaja
Bojan Mitrović
; Department of Endocrinology and Diabetes, Zemun Clinical Hospital, Belgrade, Serbia; Medicine Intensive Care Unit, Zemun Clinical Hospital, Belgrade, Serbia; School of Medicine, University of Belgrade, Belgrade, Serbia
Milan Obradović
; Department of Radiobiology and Molecular Genetics, Vinča Institute of Nuclear Sciences, National Institute of the Republic of Serbia, University of Belgrade, Belgrade, Serbia
*
Esma R. Isenović
; Department of Radiobiology and Molecular Genetics, Vinča Institute of Nuclear Sciences, National Institute of the Republic of Serbia, University of Belgrade, Belgrade, Serbia
Zoran Gluvić
; Department of Endocrinology and Diabetes, Zemun Clinical Hospital, Belgrade, Serbia; Medicine Intensive Care Unit, Zemun Clinical Hospital, Belgrade, Serbia; School of Medicine, University of Belgrade, Belgrade, Serbia
Milena Lacković
; Department of Endocrinology and Diabetes, Zemun Clinical Hospital, Belgrade, Serbia; School of Medicine, University of Belgrade, Belgrade, Serbia
Sandra Pekić Djurdjević
; Department of Endocrinology, Diabetes and Metabolic Diseases, Division of Neuroendocrinology, Clinical Center of Serbia, Belgrade, Serbia; School of Medicine, University of Belgrade, Belgrade, Serbia
Milan Petakov
; Department of Endocrinology, Diabetes and Metabolic Diseases, Division of Neuroendocrinology, Clinical Center of Serbia, Belgrade, Serbia; School of Medicine, University of Belgrade, Belgrade, Serbia
* Dopisni autor.
Sažetak
Hiponatremija se često susreće u kliničkoj praksi. Euvolemijska hiponatremija (sindrom nedostatne antidiureze,
syndrome of inadequate antidiuresis, SIAD) predstavlja izazove u dijagnostici i liječenju, kako u pogledu otkrivanja
etiologije i postupne akutne supstitucije, tako i kasnijeg kauzalnog liječenja. Ovdje smo prikazali slučaj teškog
SIAD-a uzrokovanog segmentnom plućnom tromboembolijom, koji se manifestirao kao akutna psihoza. COVID-19
je zakomplicirao tijek bolesti stečene u bolničkim uvjetima. Istodobnim liječenjem plućne tromboembolije, postupnom
supstitucijom hiponatremije i liječenjem COVID-19 bolesnica se biokemijski i psihički potpuno oporavila. Čak
i iskusni kliničari mogu biti zbunjeni raznolikom kliničkom manifestacijom SIAD-a. Pažljiva supstitucija hiponatremije
i liječenje njezine etiologije temelj je liječenja SIAD-a.
Ključne riječi
Hiponatremija; Hipertonična fiziološka otopina; Plućna tromboembolija
Hrčak ID:
347734
URI
Datum izdavanja:
10.6.2026.
Posjeta: 0 *