TY - JOUR PY - 2021// TI - A rare case of water intoxication in unusual chiropratic prescription: a medico-legal analysis due to alleged malpractice JO - Annali di Igiene: Medicina Preventiva e di Comunita A1 - Baldino, G. A1 - Mondello, C. A1 - Stassi, C. A1 - Cardia, L. A1 - Argo, A. A1 - Raffino, C. A1 - Ventura Spagnolo, E. SP - 250 EP - 252 VL - 172 IS - 4 N2 - 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 medico-legal implications related to malpractice involving a practitioner of Complementary and Alternative Medicine, led to the admission of a professional liability of the chiropractor.

Language: en

LA - en SN - 1120-9135 UR - http://dx.doi.org/10.7417/CT.2021.2324 ID - ref1 ER -