Thomas Kelly, Angela Saponaro, James Longenbach, Tomer Finkelberg, Christine Giesa, Eric Kleiman, Hyra Syed, Pierre Frederique, Richard J. Hamilton
{"title":"Severe Hyponatremia and Syndrome of Inappropriate Antidiuretic Hormone Secretion After Kambô Ritual","authors":"Thomas Kelly, Angela Saponaro, James Longenbach, Tomer Finkelberg, Christine Giesa, Eric Kleiman, Hyra Syed, Pierre Frederique, Richard J. Hamilton","doi":"10.1002/ccr3.71069","DOIUrl":null,"url":null,"abstract":"<p>Kambô poisoning can cause severe hyponatremia, neurologic effects, and gastrointestinal symptoms. Clinicians need to determine whether the derangements are the result of ritualistic consumption of water or toxin-induced syndrome of inappropriate antidiuretic hormone secretion (SIADH). An appropriate workup for SIADH guides electrolyte correction and leads to resolution of neurologic and systemic effects.</p>","PeriodicalId":10327,"journal":{"name":"Clinical Case Reports","volume":"13 10","pages":""},"PeriodicalIF":0.6000,"publicationDate":"2025-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/ccr3.71069","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Clinical Case Reports","FirstCategoryId":"1085","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1002/ccr3.71069","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}
引用次数: 0
Abstract
Kambô poisoning can cause severe hyponatremia, neurologic effects, and gastrointestinal symptoms. Clinicians need to determine whether the derangements are the result of ritualistic consumption of water or toxin-induced syndrome of inappropriate antidiuretic hormone secretion (SIADH). An appropriate workup for SIADH guides electrolyte correction and leads to resolution of neurologic and systemic effects.
期刊介绍:
Clinical Case Reports is different from other case report journals. Our aim is to directly improve global health and increase clinical understanding using case reports to convey important best practice information. We welcome case reports from all areas of Medicine, Nursing, Dentistry, and Veterinary Science and may include: -Any clinical case or procedure which illustrates an important best practice teaching message -Any clinical case or procedure which illustrates the appropriate use of an important clinical guideline or systematic review. As well as: -The management of novel or very uncommon diseases -A common disease presenting in an uncommon way -An uncommon disease masquerading as something more common -Cases which expand understanding of disease pathogenesis -Cases where the teaching point is based on an error -Cases which allow us to re-think established medical lore -Unreported adverse effects of interventions (drug, procedural, or other).