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RESEARCH PRODUCT
A Rare Case of Water Intoxication in Unusual Chiropratic Prescription: A Medico-Legal Analysis Due to Alleged Malpractice.
G BaldinoC MondelloC StassiL CardiaA ArgoC RaffinoE. Ventura Spagnolosubject
PrescriptionsSettore MED/43 - Medicina LegaleSettore MED/34 - Medicina Fisica E RiabilitativaMalpracticeWater IntoxicationHumansFemalechiropractic therapy hyponatremia malpractice water intoxicationAgedHyponatremiadescription
Introduction. Water intoxication is a well-recognized cause of symptomatic hyponatremia, whose often fatal consequences are described in a wide variety of conditions such as psychiatric disorders, metabolic dysfunctions, child abuse, drug abuse and several medical procedures. The case. We here report a rare case of a 67-year-old woman with severe acute hyponatremia due to an excessive voluntary water intake – 14 litres in two days – following a chiropractic prescription. The patient developed sudden severe symptoms, including water retention, sensory alteration, altered mental status and tonic-clonic seizures. She was thus admitted to the Intensive Care Unit with a diagnosis of coma due to electrolyte alterations following water intoxication. Conclusion. The evaluation, in the present case, of the medicolegal implications related to malpractice involving a practitioner of Complementary and Alternative Medicine, led to the admission of a professional liability of the chiropractor.
| year | journal | country | edition | language |
|---|---|---|---|---|
| 2021-10-01 | Annali di igiene : medicina preventiva e di comunita |