Where did the salt go?
Bronchiolitis is a self-limiting viral respiratory-tract-infection seen commonly in infants. Some infants require hospitalization for feeding or respiratory support. A wide range of extra-pulmonary complications such as arrhythmias, myocarditis, central apneas, seizures, and hyponatremia are uncomm...
Saved in:
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Hacettepe University Institute of Child Health
2017-06-01
|
| Series: | The Turkish Journal of Pediatrics |
| Subjects: | |
| Online Access: | https://turkjpediatr.org/article/view/999 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850236891629092864 |
|---|---|
| author | Siba Prosad Paul Sarah Sian Hicks Manjunath Kariyappa Sanjeevaiah Paul Anthony Heaton |
| author_facet | Siba Prosad Paul Sarah Sian Hicks Manjunath Kariyappa Sanjeevaiah Paul Anthony Heaton |
| author_sort | Siba Prosad Paul |
| collection | DOAJ |
| description |
Bronchiolitis is a self-limiting viral respiratory-tract-infection seen commonly in infants. Some infants require hospitalization for feeding or respiratory support. A wide range of extra-pulmonary complications such as arrhythmias, myocarditis, central apneas, seizures, and hyponatremia are uncommonly known to occur with respiratory syncytial virus (RSV) infections. We present a 4-week-old-female infant admitted with RSV bronchiolitis for feeding support by nasogastric-tube. The infant suffered unexpected desaturations and seizure-like event 30-hours post-admission. Severe hyponatremia (sodium: 114 mmol/L) was detected although cause for this remained unexplained initially. Serum sodium improved following a bolus of 2.7% hypertonic-saline. The infant subsequently needed advanced respiratory support. Around time of transfer to PICU, the infant developed abdominal distension and continued to have bilious aspirate even after 6-days. An upper gastrointestinal contrast-study confirmed malrotation; improved following surgery. Co-existence of two serious pathologies may have accounted for the hyponatremia: malrotation (possible source of sodium loss into third-space) and severe bronchiolitis (inappropriate ADH-secretion). This case highlights the importance of determining origin of hyponatremia associated with acute bronchiolitis.
|
| format | Article |
| id | doaj-art-74a08fcc719645bf8763f2b0184777e8 |
| institution | OA Journals |
| issn | 0041-4301 2791-6421 |
| language | English |
| publishDate | 2017-06-01 |
| publisher | Hacettepe University Institute of Child Health |
| record_format | Article |
| series | The Turkish Journal of Pediatrics |
| spelling | doaj-art-74a08fcc719645bf8763f2b0184777e82025-08-20T02:01:53ZengHacettepe University Institute of Child HealthThe Turkish Journal of Pediatrics0041-43012791-64212017-06-0159310.24953/turkjped.2017.03.020Where did the salt go?Siba Prosad Paul0Sarah Sian Hicks1Manjunath Kariyappa Sanjeevaiah2Paul Anthony Heaton3Torbay Hospital, Pediatrics, Torquay, United Kingdom.Great Western Hospital, Pediatrics, Swindon, United Kingdom.Great Western Hospital, Pediatrics, Swindon, United Kingdom.Yeovil District Hospital, Pediatrics, Yeovil, United Kingdom. Bronchiolitis is a self-limiting viral respiratory-tract-infection seen commonly in infants. Some infants require hospitalization for feeding or respiratory support. A wide range of extra-pulmonary complications such as arrhythmias, myocarditis, central apneas, seizures, and hyponatremia are uncommonly known to occur with respiratory syncytial virus (RSV) infections. We present a 4-week-old-female infant admitted with RSV bronchiolitis for feeding support by nasogastric-tube. The infant suffered unexpected desaturations and seizure-like event 30-hours post-admission. Severe hyponatremia (sodium: 114 mmol/L) was detected although cause for this remained unexplained initially. Serum sodium improved following a bolus of 2.7% hypertonic-saline. The infant subsequently needed advanced respiratory support. Around time of transfer to PICU, the infant developed abdominal distension and continued to have bilious aspirate even after 6-days. An upper gastrointestinal contrast-study confirmed malrotation; improved following surgery. Co-existence of two serious pathologies may have accounted for the hyponatremia: malrotation (possible source of sodium loss into third-space) and severe bronchiolitis (inappropriate ADH-secretion). This case highlights the importance of determining origin of hyponatremia associated with acute bronchiolitis. https://turkjpediatr.org/article/view/999RSVbronchiolitishyponatremiamalrotationseizures |
| spellingShingle | Siba Prosad Paul Sarah Sian Hicks Manjunath Kariyappa Sanjeevaiah Paul Anthony Heaton Where did the salt go? The Turkish Journal of Pediatrics RSV bronchiolitis hyponatremia malrotation seizures |
| title | Where did the salt go? |
| title_full | Where did the salt go? |
| title_fullStr | Where did the salt go? |
| title_full_unstemmed | Where did the salt go? |
| title_short | Where did the salt go? |
| title_sort | where did the salt go |
| topic | RSV bronchiolitis hyponatremia malrotation seizures |
| url | https://turkjpediatr.org/article/view/999 |
| work_keys_str_mv | AT sibaprosadpaul wheredidthesaltgo AT sarahsianhicks wheredidthesaltgo AT manjunathkariyappasanjeevaiah wheredidthesaltgo AT paulanthonyheaton wheredidthesaltgo |