Abstract
This lesson presents a midsummer night's cluster of hypernatremia cases. The cluster developed during consecutive very hot and humid summer days, where profuse sweating could have caused water deficit, the leading cause of hypernatremia. However, all the cases did not have any symptoms indicating hypernatremia and had hypochloremia despite the presence of hypernatremia. It turned out that human error caused the cluster. Clinicians need to suspect spurious electrolyte disorders when the supporting clinical symptoms and laboratory data were absent.
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