DOI: 10.12890/2020_001905

Urinary Retention and Severe Hyponatremia: An Unusual Presentation of COVID-19

Authors

  • Ahmed Osman Saleh Internal Medicine Department, Medical Education, Hamad Medical Corporation, Doha, Qatar 0000-0003-1111-8859
  • Shaikha D. Al-Shokri Internal Medicine Department, Medical Education, Hamad Medical Corporation, Doha, Qatar
  • Ashraf Ahmed Internal Medicine Department, Medical Education, Hamad Medical Corporation, Doha, Qatar
  • Ahmed Elmustafa Musa Diagnostic and Interventional Radiology Department, Medical Education, Hamad Medical Corporation, Doha, Qatar
  • Mouhand FH Mohamed Internal Medicine Department, Medical Education, Hamad Medical Corporation, Doha, Qatar

asaleh17@hamad.qa

Keywords

COVID-19, coronavirus, SARS-CoV-2, hyponatremia, SIADH, urine retention

Abstract

Coronavirus disease 2019 (COVID-19) was first reported in Wuhan, China, in December 2019. The disease is caused by severe acute respiratory syndrome virus coronavirus 2 (SARS-CoV-2). A few published cases have linked COVID-19 and hyponatremia. The mechanism of hyponatremia in these cases is related to the syndrome of inappropriate antidiuretic hormone secretion (SIADH). Here we present a unique case of urinary retention and SIADH as unusual presenting features of SARS-CoV-2 infection.

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References

  1. World Health Organization. Novel Coronavirus (2019-nCoV) Situation Report – 1. 21 January 2020.
  2. Centers for Disease Control and Prevention. Symptoms of coronavirus. https://www.cdc.gov/coronavirus/2019-ncov/symptoms-testing/symptoms.html (accessed 19 August 2020).
  3. Wang D, Hu B, Hu C, Zhu F, Liu X, Zhang J, et al. Clinical characteristics of 138 hospitalized patients with 2019 novel coronavirus-infected pneumonia in Wuhan, China. JAMA 2020;323:1061–1069.
  4. Yousaf Z, Al-Shokri SD, Al-Soub H, Mohamed MFH. COVID-19-associated SIADH: a clue in the times of pandemic! Am J Physiol Endocrinol Metab 2020;318(6):E882–E885.
  5. Habib MB, Sardar S, Sajid J. Acute symptomatic hyponatremia in setting of SIADH as an isolated presentation of COVID-19. IDCases 2020;21:e00859.
  6. Baig AM. Neurological manifestations in COVID-19 caused by SARS-CoV-2. CNS Neurosci Ther 2020;26(5):499–501.
  7. Aggarwal S, Garcia-Telles N, Aggarwal G, Lavie C, Lippi G, Henry B. Clinical features, laboratory characteristics, and outcomes of patients hospitalized with coronavirus disease 2019 (COVID-19): early report from the United States. Diagnosis 2020;7(2):91–96.
  8. Galperin I, Friedmann R, Feldman H, Sonnenblick M. Urinary retention: a cause of hyponatremia? Gerontology 2007;53(3):121–124.
  9. Schettini DA, Freitas FG, Tomotani DY, Alves JC, Bafi AT, Machado FR. Incidence and risk factors for urinary retention in critically ill patients. Nurs Crit Care 2018;24(6):355–361.
  10. Shang J, Wan Y, Luo C, Ye G, Geng Q, Auerbach A, et al. Cell entry mechanisms of SARS-CoV-2. Proc Natl Acad Sci USA 2020;117(21):11727–11734.
  11. Giuliani C, Peri A. Effects of hyponatremia on the brain. J Clin Med 2014;3(4):1163–1177.

Published

2020-09-11

How to Cite

1.
Saleh AO, D. Al-Shokri S, Ahmed A, Musa AE, Mohamed MF. Urinary Retention and Severe Hyponatremia: An Unusual Presentation of COVID-19. EJCRIM [Internet]. 2020 Sep. 11 [cited 2026 Nov. 4];7(10). Available from: https://ejcrim.com/index.php/ejcrim/article/view/1905

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