Hiponatremia grave secundaria a la exposición a veneno de Phyllomedusa Bicolor (Rana Kambó). Caso clínico
Revista médica de Chile July 1, 2019 Juan Campodónico, Paula Aedo, M. Ignacia Montané et al. 8 citations
A 41-year-old woman who drank ayahuasca and then received Kambo frog poison during a healing ritual, along with drinking at least six liters of water, developed severe hyponatremia (120 mEq/L), seizures, and rhabdomyolysis. Laboratory results showed low plasma osmolality (248 mOsm/kg) and disproportionately high urinary osmolality (448 mOsm/kg), suggesting syndrome of inappropriate antidiuretic hormone secretion (SIADH). After correcting the hyponatremia, the patient gradually regained consciousness. Rhabdomyolysis, indicated by a creatine kinase level rising to 107,216 IU/L, was treated with fluids and bicarbonate and resolved positively.