Severe Hyponatremia due to Phlegmonous Trismus

Table 1

Serum chemistry findings and electrolyte levels during hospitalization.

Normal; range	Na; 136–147; (mEq/L)	K; 136–147; (mEq/L)	Cl; 136–147; (mEq/L)	TP; 6.7–8.3 (g/dL)	BUN; 8–20; (mg/dL)	Cre; 0.44–0.75 (mg/dL)	CRP; <0.3; (mg/dL)	U-Na; 40–160; (mEq/L)	Glu; 70–110; (mg/d/L)	Infusion of electrolytes and glucose	Administration of drugs
Admission; (day 0)	116	3.3	83	5.9	14.7	0.58	16.8			5% glucose 250 mL + hypotonic solution 1000 mL	Diazepam 2.5 mg
Day 1	117	3.5	83	6.0	7.8	0.48	12.9		113	Hypotonic solution 1500 mL + saline 700 mL	Aspoxicillin 6 g + metoclopramide 10 mg
Day 2										5% maltose-lactated Ringer’s solution 500 mL + hypotonic solution 1000 mL + saline 200 mL	Aspoxicillin 2 g
Day 3	138	3.7	102	6.8	5.5	0.59	5.13		81	5% maltose-lactated Ringer’s solution 500 mL + saline 1000 mL	Aspoxicillin 4 g
Day 4										Saline 100 mL	Aspoxicillin 2 g + loperamide 1 mg
Day 5										5% maltose-lactated Ringer’s solution 500 mL + hypotonic solution 1000 mL + saline 200 mL	Aspoxicillin 2 g + metoclopramide 10 mg
Day 6	111	3.7	79	6.1	5.3	0.38	1.11		74	5% maltose-lactated Ringer’s solution 500 mL + hypotonic solution 500 mL + saline 600 mL	Cefmetazole 2 g + metoclopramide 10 mg
Day 7	108	3.0	75	5.7	2.9	0.36	0.80	66.8	52	5% maltose-lactated Ringer’s solution 500 mL + hypotonic solution 500 mL + saline 100 mL + 10% NaCl 20 mL	Cefmetazole 2 g + 20% glucose 20 mL+ furosemide 20 mg + potassium L-aspartate 1A
Day 8	117	3.4	85				0.77	70		5% maltose-lactated Ringer’s solution 500 mL + saline 500 mL + 10% NaCl 40 mL	Furosemide 10 mg + potassium L-aspartate 1A
Day 9	133	3.4	100				0.59
Day 10	134	3.7	101	6.3	5.0	0.45			66

TP, total protein; BUN, blood urea nitrogen; Cre, creatinine; CRP, C-reactive protein; U-Na, urine Na; Glu, glucose.