Severe hypernatremic dehydration and hyperkalemia in an infant with gastroenteritis secondary to rotavirus
| Autor: | Jerry Jacobson, Derek Bohn |
|---|---|
| Rok vydání: | 1993 |
| Předmět: |
Pediatrics
medicine.medical_specialty Resuscitation Hyperkalemia medicine.disease_cause Rotavirus Infections Rotavirus medicine Humans Intensive care medicine Osmole Hypernatremia Dehydration business.industry Infant medicine.disease Gastroenteritis Diarrhea Diarrhea Infantile Emergency Medicine Intracranial pressure monitoring Fluid Therapy Female medicine.symptom Complication business |
| Zdroj: | Annals of emergency medicine. 22(10) |
| ISSN: | 0196-0644 |
| Popis: | A case of severe hypernatremic dehydration (sodium, 191 mmol/L) with associated severe hyperkalemia (potassium, 11.2 mmol/L) and hyperosmolality (502 mOsm/kg) is described in a 3-month-old infant secondary to acute infection with rotavirus. The patient was managed with i.v. fluid resuscitation in conjunction with intracranial pressure monitoring and was discharged well and without any permanent sequelae. Review of the literature reveals the case described to be the most profound example of hypernatremic dehydration with a favorable outcome reported from diarrheal illness. Strategies for management of hypernatremic dehydration are discussed. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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