case_images: PMC6043912_01
case_images: Serial changes in the sCr, serum sodium levels, and urine volume during the observation period. HF and HP were performed on hospital days 1 and 2, respectively, whereas the patient received the HD treatment on hospital days 3 and 5. The administration of intravenous hypertonic saline was ceased after confirming that the patient's serum sodium level had been corrected to 139 mmol/L on hospital day 3.
case_images: 10.1177_1177392818782899-fig1.jpg
case_images: PMC6043912_01_10.1177_1177392818782899-fig1.jpg
case_images: fig1-1177392818782899
case_images: Tokyo, Japan), and it further increased to 139 mmol/L at 14 hours later. After an initial hemodialysis (HD) session, her urine output began to increase (Figure 1) along with gradual improvements in her consciousness from E3VTM6 on hospital day 3 to E4VTM6 on hospital day 5, whereas the serum levels of acyclovir steadily decreased during the observation period (Table 1). The patient was eventually extubated on hospital day 7 with a favorable neurological recovery (E4V5M6), and medications including statins and antihypertensive agents were resumed thereafter.