Hypermagnesemia-induced pseudonecrotizing enterocolitis and respiratory distress in a preterm infant: A case report
| Autor: | K Nimishashree Srinivas, Darshan Rajatadri Rangaswamy, Niranjan Kamble |
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| Jazyk: | angličtina |
| Rok vydání: | 2024 |
| Předmět: | |
| Zdroj: | Journal of Acute Disease, Vol 13, Iss 5, Pp 193-195 (2024) |
| Druh dokumentu: | article |
| ISSN: | 2221-6189 2589-5516 |
| DOI: | 10.4103/jad.jad_31_24 |
| Popis: | Rationale: This case highlights the rare yet critical diagnosis of hypermagnesemia in a preterm infant, who presented with symptoms mimicking necrotizing enterocolitis. It underscores the importance of considering hypermagnesemia as a differential diagnosis in neonatal respiratory distress and gastrointestinal symptoms, even when the cause is not immediately apparent. Patient’s Concern: An extremely low birth infant with respiratory distress further had episodes of apnoea and cyanosis. The infant eventually exhibited abdominal distension and bilious vomiting, symptoms mimicking necrotizing enterocolitis. Diagnosis: The infant’s clinical features were attributed to hypermagnesemia, despite no magnesium being administered and no apparent cause identified. Screening the apparently asymptomatic mother confirmed a serum magnesium level of 4 mg/dL, suggesting transplacental transfer as the likely cause of the neonate’s condition. Interventions: The newborn was treated supportively with adequate hydration and maintenance calcium gluconate. Outcomes: Magnesium levels decreased, and the baby showed signs of improvement. Lessons: Hypermagnesemia, though uncommon, should be investigated and considered even when the symptoms are not apparent. |
| Databáze: | Directory of Open Access Journals |
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