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

Ahmed Osman Saleh1, Shaikha D Al-Shokri1, Ashraf Oe Ahmed1

  • 1Internal Medicine Department, Medical Education, Hamad Medical Corporation, Doha, Qatar.

European Journal of Case Reports in Internal Medicine
|October 21, 2020
PubMed

Insights

Severe hyponatremia, a condition of low sodium levels, and urinary retention were observed as unusual symptoms in a patient with COVID-19. These findings highlight the diverse neurological manifestations of SARS-CoV-2 infection.

Area of Science:

  • Infectious Diseases
  • Nephrology
  • Neurology

Background:

  • Coronavirus disease 2019 (COVID-19), caused by SARS-CoV-2, has been linked to hyponatremia in some cases.
  • The mechanism often involves the syndrome of inappropriate antidiuretic hormone secretion (SIADH).

Purpose of the Study:

  • To report a unique case of urinary retention and SIADH as presenting features of SARS-CoV-2 infection.
  • To highlight unusual presentations of COVID-19.

Main Methods:

  • Case report presentation.
  • Clinical and laboratory data analysis of a patient with SARS-CoV-2 infection.

Main Results:

  • The patient presented with urinary retention and SIADH.
  • These were identified as unusual presenting symptoms of SARS-CoV-2 infection.

Conclusions:

  • Urinary retention may be an unusual presenting symptom of severe hyponatremia in COVID-19.
  • Hyponatremia and SIADH can be unusual features of SARS-CoV-2 infection.
  • Careful correction of hyponatremia is crucial to prevent osmotic demyelination syndrome.

Keywords:
COVID-19SARS-CoV-2SIADHcoronavirushyponatremiaurine retention

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