Severe hypernatremic dehydration in a breastfed infant

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Seizures during correction of hypernatremic dehydration in an infant.

This 16-day-old breast-fed infant had a three-day history of poor feeding and increasing somnolence. She was the 3.6-kg product of an uncomplicated first pregnancy. Fever, emesis, and diarrhea were denied. Examination revealed a lethargic, emaciated, and severely dehydrated baby who weighed 2.3 kg. Dextrostix blood glucose was 20 mg/dL. Normal saline (15 mL/kg), DsoW (1 mL/kg), and DIO 0.45% sa...

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Neonatal hypernatremic dehydration secondary to lactation failure.

Dehydration in the neonatal period has many causes. Dehydration is classified as isotonic, hypotonic, or hypertonic, based on the serum osmolality that in most cases is reflected in the serum sodium level. Hypernatremic dehydration is usually caused by gastroenteritis, but it can also be caused by salt poisoning or diabetes insipidus. This type of dehydration can be especially dangerous. The hy...

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Cystic Fibrosis Presenting with Severe Dehydration in an Otherwise Normal Infant

A 4-month-old male infant was referred to our center with clinical signs and symptoms of severe dehydration without fever, diarrhea, vomiting, or respiratory symptoms. The patient had a history of two similar episodes at 1.5 and 2 months of age without any known underlying cause. In each attack the patient was hospitalized and improved with management of dehydration and electrolyte imbalance. T...

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[A case of hypernatremic dehydration due to breast-feeding].

The authors report an 11-day-old exclusively breast-fed female, with a birth weight of 3 300 g, who had suffered from dehydration stage I, with acute renal failure and metabolic acidosis, with 170 mmol/L of serum sodium. Renal ultrasounds were normal but the rate of sodium in mother's milk was three times higher than controls (87 versus 21 mmol/L). Intravenous rehydration allowed the correction...

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Severe neonatal hypernatremia is an important electrolyte disorder that has serious effects. Cerebral venous thrombosis and aortic thrombosis are relatively rare in severe neonatal hypernatremic dehydration. The authors report a case of cerebral venous thrombosis, associated with aortic thrombosis revealed by dehydration in a 9-day-old boy. Diagnostic was performed using Doppler ultrasound and ...

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ژورنال

عنوان ژورنال: Paediatrics Today

سال: 2016

ISSN: 1840-0914,1840-2968

DOI: 10.5457/p2005-114.155