Typhoid without travel

Gangopadhyay KK, Gupta R, Baskar V, Gautam N, Toogood AA. With a pinch of salt. Clin Med 2010;10:86–7.

Please note there are two amendments to this ‘Lesson of the month’ as follows:

The first sentence of the summary reads ‘This report highlights a case of severe hyponatraemia secondary to excessive sweating – poor fluid consumption and low salt diet in hot conditions.’ It should read ‘This report highlights a case of severe hyponatraemia secondary to excessive sweating and salt poor fluid consumption and low salt diet in hot conditions'
The second paragraph of the discussion reads ‘Hyponatraemia secondary to excessive salt and poor fluid ingestion is now being recognised as a cause of morbidity and mortality among athletes and in the military (where inadequate dietary salt intake in hot countries could be another factor) but is not well appreciated outside these communities.’ It should read ‘Hyponatraemia secondary to excessive salt poor fluid ingestion is now being recognised as a cause of morbidity and mortality among athletes and in the military (where inadequate dietary salt intake in hot countries could be another factor) but is not well appreciated outside these communities.’