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Micro-dissection of Enamel Organ from Mandibular Incisor of Rats Exposed to Environmental Toxicants

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Dental hyponatraemia.

¹Dumfries and Galloway Royal Infirmary, Bankend Road, Dumfries DG1 4AP, UK. robert.simpson@nhs.net

Scottish Medical Journal

|August 30, 2011

Summary

This summary is machine-generated.

A 14-year-old girl experienced dental pain, leading to confusion and vomiting due to severe hyponatremia. This case highlights unusual water intoxication, successfully treated with conservative management.

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Area of Science:

Pediatric Dentistry
Nephrology
Endocrinology

Background:

Dental pain in adolescents can be a presenting symptom for various conditions.
Acute infected pulpitis requires prompt dental intervention.
Hyponatremia, a condition of low serum sodium, can manifest with neurological symptoms.

Observation:

A 14-year-old girl presented with persistent dental pain after treatment for pulpitis.
She subsequently developed confusion, disorientation, vomiting, and headache.
Investigations revealed severe hyponatremia (low serum sodium) with normal potassium and initially normal urinary sodium.

Findings:

The patient experienced significant polyuria (5.45 L in 24 hours), indicating excessive water excretion.
Serum sodium levels normalized (125 to 143 mmol/L) with conservative management.
The clinical presentation suggested self-induced water intoxication, possibly linked to excessive cold fluid intake for pain relief.

Implications:

This case suggests a rare etiology of water intoxication secondary to dental pain management.
Conservative management of fluid intake is crucial for resolving such cases.
Clinicians should consider unusual causes of hyponatremia in pediatric patients presenting with neurological symptoms.