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Diabetes Insipidus Due to Streptococcus pneumoniae Meningitis
Arch Intern Med. 2001;161:1114-1115.
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Diabetes insipidus (DI), which is characterized by polyuria and polydipsia
due to excessive urinary loss of solute-free water, can be either central
(CDI) or nephrogenic.1 In CDI, plasma levels
of arginine vasopressin do not increase in response to a rise in plasma osmolarity.
A number of intracranial conditions, such as neoplastic or infiltrative lesions
of the hypothalamus or pituitary gland, severe head injuries, neurosurgery,
and central nervous system infection, can cause CDI.1
Central DI has been reported as a complication of bacterial meningitis, but
most of the cases have occurred in children.2
We describe a 45-year-old man with human immunodeficiency virus (HIV) infection
and Streptococcus pneumoniae meningitis who developed
central diabetes insipidus, most likely as a complication of raised intracranial
pressure.
Report of a Case
A 45-year-old man was admitted to the hospital with headaches, fever,
and delirium. His medical history included HIV infection, which had been diagnosed
2 months before admission. His CD4 . . . [Full Text of this Article] Comment
THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
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Hypothalamic pituitary insufficiency following infectious diseases of the central nervous system
Schaefer et al.
Eur J Endocrinol 2008;158:3-9.
ABSTRACT
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