Hypernatremia Caused by Saltwater Emesis in a Case of Neem Powder Poisoning

Table salt is widely available and, in some cases, inappropriately used as an emetic in poisoning incidents, both in clinical and domestic settings. However, saltwater-induced emesis can lead to severe hypernatremia, which, although rare, carries a high risk of morbidity and mortality. Early recognition, prompt diagnosis, and urgent management are essential to prevent irreversible neurological injury or death. We report a case of severe hypernatremia (serum sodium 187 mmol/L) following saltwater-induced emesis in a young woman with suspected neem powder poisoning, in whom timely intervention led to complete recovery. Clinical features, management strategies, and the urgent need to eliminate this dangerous practice are discussed.