Electrolyte Blood Press.  2013 Dec;11(2):53-55. 10.5049/EBP.2013.11.2.53.

Severe Hypernatremia by Excessive Bamboo Salt Ingestion in Healthy Young Woman

Affiliations
  • 1Renal Division, Department of Internal Medicine, Chungnam National University Hospital, Daejeon, Korea. kwlee@cnu.ac.kr

Abstract

Severe hypernatremia is an important electrolyte disorder that has serious effects. The patient had no medical history. A. 20-year-old ingested bamboo salt for digestion and weight reduction according to the folk remedies posted on an internet website. She presented with vomiting and diarrhea over ten times per day. Her initial serum sodium concentration was 174mEq/L. Her symptoms improved rapidly with hypotonic saline infusion. She recovered completely without any sequelae in three days. Severe hypernatremia in a normal young adult with clear consciousness and normal renal function has not been reported in Korea yet. So we report a case of severe hypernatremia by excessive bamboo salt ingestion in healthy young woman.

Keyword

Hypernatremia; Folk remedies

MeSH Terms

Consciousness
Diarrhea
Digestion
Eating*
Female
Humans
Hypernatremia*
Internet
Korea
Medicine, Traditional
Sodium
Vomiting
Weight Loss
Young Adult
Sodium

Figure

  • Fig. 1 Serial data of serum sodium level and osmolarity during clinical course. sOsm; serum osmolarity, sNa; serum sodium


Reference

1. Hedouin V, Revuelta E, Becart A, Tournel G, Deveaux M, Gosset D. A case of fatal salt water intoxication following an exorcism session. Forensic Sci Int. 1999; 99(1):1–4. PMID: 10069018.
2. Johnston JG, Robertson WO. Fatal ingestion of table salt by an adult. West J Med. 1977; 126(2):141–143. PMID: 847976.
3. Jang JS, Choi HM, Hyun YY, Kwon BS, Park JY, Kim JH, Lee JW, Lee JW, Kwon YJ, Pyo HJ. A case of Hypernatremia by folk remedies in a CRF patient. Korean J Nephrol. 2006; 25(4):675–679.
4. Kim CY, Chung SC, Sohn WS. Comparison of the antiplaque and anti-inflammatory effect of the dentifrices containing NaCl and bamboo salt. J Korean Acad Dent Health. 1991; 15(2):269–280.
5. Yoo TM, Kim SS, Roh YN, Yi SY, Kim OK, Rheu HM, Yang JS. General pharmacology of bamboo salt. J Appl Pharmacol. 2000; 8:93–98.
6. Turk EE, Schulz F, Koops E, Gehl A, Tsokos M. Fatal hypernatremia after using salt as an emetic--report of three autopsy cases. Leg Med (Tokyo). 2005; 7(1):47–50. PMID: 15556015.
7. Ofran Y, Lavi D, Opher D, Weiss TA, Elinav E. Fatal voluntary salt intake resulting in the highest ever documented sodium plasma level in adults (255mmol L-1): a disorder linked to female gender and psychiatric disorders. J Intern Med. 2004; 256(6):525–528. PMID: 15554954.
8. Ward DJ. Fatal hypernatremia after a saline emetic. Br Med J. 1963; 2(5354):432. PMID: 13998848.
9. Snyder NA, Feigal DW, Arieff AI. Hypernatremia in elderly patients. A heterogeneous, morbid, and iatrogenic entity. Ann Intern Med. 1987; 107(3):309–319. PMID: 3619220.
10. Meadow R. Non-accidental salt poisoning. Arch Dis Child. 1993; 68(4):448–452. PMID: 8503665.
Article
11. Dine MS, McGovern ME. Intentional poisoning of children an overlooked category of child abuse: report of seven cases and review of the literature. Pediatrics. 1982; 70(1):32–35. PMID: 7088630.
12. Moder KG, Hurley DL. Fatal hypernatremia from exogenous salt intake: report of a case and review of the literature. Mayo Clin Proc. 1990; 65(12):1587–1594. PMID: 2255221.
Article
13. Paut O, Andre N, Fabre P, Sobraques P, Drouet G, Arditti J, Camboulives J. The management of extreme hypernatraemia secondary to salt poisoning in an infant. Paediatr Anaesth. 1999; 9(2):171–174. PMID: 10189662.
Article
14. Star RA. Hyperosmolar states. Am J Med Sci. 1990; 300(6):402–412. PMID: 2264581.
15. Casavant MJ, Fitch JA. Fatal hypernatremia from saltwater used as an emetic. J Toxicol Clin Toxicol. 2003; 41(6):861–863. PMID: 14677797.
Article
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