Serotonin syndrome with atypical hypernatremia
Published in Cureus, the authors describe a case of a 64-year-old female with a complex past medical history who presented to the emergency department with an altered mental status after being found poorly responsive by her husband.

Many of her symptoms aligned with the commonly used criteria for serotonin syndrome; yet, her complex past medical history and uncommonly elevated sodium levels veered her providers from arriving at this diagnosis earlier. This unique case illustrates that despite having specific criteria for diagnosis, serotonin syndrome can be a complicated diagnosis to make, particularly in the setting of multiple co-morbidities and polypharmacy.

In addition, it is important to keep medication toxicities high on a differential diagnosis list and be aware of the criteria used for diagnosis. One of the easiest and most cost-effective methods to diagnosis is to start with a thorough history, physical exam, and medication reconciliation to address easily preventable medication adverse effects.

Read in detail here:
C●●●●●●●d H●●●●●●●i and 1 others like this1 share