AUTHOR=Kang Waye Hann , Kamaruddin N. A. , Sukor Norlela 

TITLE=Case Report: Severe Hypernatremia From Ingestion of One's Own Urine

JOURNAL=Frontiers in Medicine

VOLUME=9

YEAR=2022

URL=https://www.frontiersin.org/journals/medicine/articles/10.3389/fmed.2022.929180

DOI=10.3389/fmed.2022.929180

ISSN=2296-858X

ABSTRACT=<p>An often unrecognized cause of hypernatremia is the ingestion of fluids or substances with high osmolality. We hereby report a case of severe hypernatremia with acute kidney injury in a severely debilitated patient with acute gouty arthritis who resorted to ingesting his own urine. Hypernatremia induced by drinking urine could be attributed to many underlying mechanisms, one of the important possible causes is the resultant high serum urea that leads to significant osmotic diuresis and a further increase in free water clearance. To the best of our knowledge this is the first case report that describes this unique cause of hypernatremia.</p>