{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T21:24:05Z","timestamp":1783113845560,"version":"3.54.6"},"reference-count":15,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2024,2,6]],"date-time":"2024-02-06T00:00:00Z","timestamp":1707177600000},"content-version":"vor","delay-in-days":5,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2024,2,1]],"date-time":"2024-02-01T00:00:00Z","timestamp":1706745600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Case Reports"],"published-print":{"date-parts":[[2024,2]]},"abstract":"<jats:sec>\n                    <jats:title>Key Clinical Message<\/jats:title>\n                    <jats:p>Identifying pulmonary pathology while evaluating electrolyte disorders is crucial for optimal patient management. Physicians working in endemic regions of tuberculosis should consider this pathology as a differential for electrolyte imbalances.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Abstract<\/jats:title>\n                    <jats:p>Hyponatremia, a common electrolyte imbalance, can arise from various underlying etiologies such as diuretics, diarrhea, vomiting, congestive heart failure, and liver and renal disease. We present a case report of a 74\u2010year\u2010old man highlighting the association between pulmonary tuberculosis (TB) and the development of hyponatremia. GeneXpert assay of the patient's sputum sample led to the identification of underlying active pulmonary TB as the cause of hyponatremia. The patient was started on anti\u2010TB therapy, and concurrent fluid restriction and sodium supplementation were initiated to correct the electrolyte imbalance. Over the next 3\u2009days, the patient demonstrated clinical improvement with the resolution of hyponatremia. This case also highlights the importance of considering TB as a potential etiology in patients presenting with hyponatremia, especially in endemic areas. Further research is warranted to explore the mechanistic pathways linking pulmonary TB and hyponatremia, aiding in the development of targeted therapeutic interventions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ccr3.8469","type":"journal-article","created":{"date-parts":[[2024,2,7]],"date-time":"2024-02-07T03:22:08Z","timestamp":1707276128000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Pulmonary tuberculosis in an adult presenting with severe hyponatremia: A case report and review of literature"],"prefix":"10.1002","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2405-6952","authenticated-orcid":false,"given":"Shailes","family":"Paudel","sequence":"first","affiliation":[{"name":"Patan Academy of Health Sciences  Lalitpur Nepal"},{"name":"Team Erevnites  Trivandrum India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maulik","family":"Dhanani","sequence":"additional","affiliation":[{"name":"Team Erevnites  Trivandrum India"},{"name":"Southwestern University School of Medicine  Cebu City Philippines"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6719-8996","authenticated-orcid":false,"given":"Krish Hitesh","family":"Patel","sequence":"additional","affiliation":[{"name":"Team Erevnites  Trivandrum India"},{"name":"Government Medical College  Surat India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3879-1739","authenticated-orcid":false,"given":"Naga Praneeth","family":"Vakkalagadda","sequence":"additional","affiliation":[{"name":"Team Erevnites  Trivandrum India"},{"name":"Guntur Medical College  Guntur Andhra Pradesh India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0615-8397","authenticated-orcid":false,"given":"Vivek","family":"Sanker","sequence":"additional","affiliation":[{"name":"Team Erevnites  Trivandrum India"},{"name":"Noorul Islam Institute of Medical Sciences  Trivandrum Kerala India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-1693-5648","authenticated-orcid":false,"given":"Abhiram Rao","family":"Damera","sequence":"additional","affiliation":[{"name":"Team Erevnites  Trivandrum India"},{"name":"Mediciti Institute of Medical Sciences  Ghanpur Telangana India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7911-8663","authenticated-orcid":false,"given":"Umang","family":"Gupta","sequence":"additional","affiliation":[{"name":"Team Erevnites  Trivandrum India"},{"name":"Nepalgunj medical college  Nepalgunj Banke 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Zasshi"},{"issue":"1","key":"e_1_2_11_12_1","first-page":"27","article-title":"A case of pulmonary tuberculosis initially presented with syndrome of inappropriate secretion of antidiuretic hormone (SIADH)","volume":"78","author":"Nishizawa Y","year":"2003","journal-title":"Kekkaku"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1128\/CMR.00036-20"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1378\/chest.09-0405"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1159\/000322238"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1210\/jendso\/bvac130"}],"container-title":["Clinical Case 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