Too Much Salt to My Taste: An Entity to Think about in Neonatal Hypernatremia: A Case Report and Review of the Literature
In exclusively breastfed newborns, hypernatremic dehydration is associated with a free water deficit secondary to insufficient fluid intake. Failure of newborns to regain their birth weight by the 10th day of life should be investigated urgently. In this report, we present a case of a 2 -week-old gi...
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| Format: | Article |
| Language: | English |
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Wiley
2024-01-01
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| Series: | Case Reports in Pediatrics |
| Online Access: | http://dx.doi.org/10.1155/2024/8838362 |
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| author | Marwa El Masri Lidiya Samotiy-Hanna Ramy Ghabril Yolla Nassif Dany Al Hamod |
| author_facet | Marwa El Masri Lidiya Samotiy-Hanna Ramy Ghabril Yolla Nassif Dany Al Hamod |
| author_sort | Marwa El Masri |
| collection | DOAJ |
| description | In exclusively breastfed newborns, hypernatremic dehydration is associated with a free water deficit secondary to insufficient fluid intake. Failure of newborns to regain their birth weight by the 10th day of life should be investigated urgently. In this report, we present a case of a 2 -week-old girl who presented to our institution for 30% weight loss and was found to have severe hypernatremic dehydration associated with acute renal failure (creatinine 4 mg/dL). Upon further investigation, the breast milk sodium content was found to be extremely elevated (90 mEq/L). To our knowledge, the following reported case of severe neonatal hypernatremic dehydration associated with acute renal failure has the most elevated breast milk sodium content, serum sodium, and serum creatinine levels described in the literature. Thus, hypernatremic dehydration secondary to elevated breast milk content should always be borne in mind and investigated whenever suspected. |
| format | Article |
| id | doaj-art-f93d816d85974f31b6a11838156425e0 |
| institution | Kabale University |
| issn | 2090-6811 |
| language | English |
| publishDate | 2024-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Pediatrics |
| spelling | doaj-art-f93d816d85974f31b6a11838156425e02025-02-03T05:55:27ZengWileyCase Reports in Pediatrics2090-68112024-01-01202410.1155/2024/8838362Too Much Salt to My Taste: An Entity to Think about in Neonatal Hypernatremia: A Case Report and Review of the LiteratureMarwa El Masri0Lidiya Samotiy-Hanna1Ramy Ghabril2Yolla Nassif3Dany Al Hamod4Department of PediatricsDepartment of PediatricsDepartment of Pediatric NephrologyDepartment of Pediatric and Neonatal Intensive CareDepartment of Pediatric and Neonatal Intensive CareIn exclusively breastfed newborns, hypernatremic dehydration is associated with a free water deficit secondary to insufficient fluid intake. Failure of newborns to regain their birth weight by the 10th day of life should be investigated urgently. In this report, we present a case of a 2 -week-old girl who presented to our institution for 30% weight loss and was found to have severe hypernatremic dehydration associated with acute renal failure (creatinine 4 mg/dL). Upon further investigation, the breast milk sodium content was found to be extremely elevated (90 mEq/L). To our knowledge, the following reported case of severe neonatal hypernatremic dehydration associated with acute renal failure has the most elevated breast milk sodium content, serum sodium, and serum creatinine levels described in the literature. Thus, hypernatremic dehydration secondary to elevated breast milk content should always be borne in mind and investigated whenever suspected.http://dx.doi.org/10.1155/2024/8838362 |
| spellingShingle | Marwa El Masri Lidiya Samotiy-Hanna Ramy Ghabril Yolla Nassif Dany Al Hamod Too Much Salt to My Taste: An Entity to Think about in Neonatal Hypernatremia: A Case Report and Review of the Literature Case Reports in Pediatrics |
| title | Too Much Salt to My Taste: An Entity to Think about in Neonatal Hypernatremia: A Case Report and Review of the Literature |
| title_full | Too Much Salt to My Taste: An Entity to Think about in Neonatal Hypernatremia: A Case Report and Review of the Literature |
| title_fullStr | Too Much Salt to My Taste: An Entity to Think about in Neonatal Hypernatremia: A Case Report and Review of the Literature |
| title_full_unstemmed | Too Much Salt to My Taste: An Entity to Think about in Neonatal Hypernatremia: A Case Report and Review of the Literature |
| title_short | Too Much Salt to My Taste: An Entity to Think about in Neonatal Hypernatremia: A Case Report and Review of the Literature |
| title_sort | too much salt to my taste an entity to think about in neonatal hypernatremia a case report and review of the literature |
| url | http://dx.doi.org/10.1155/2024/8838362 |
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