Antidiuretic hormone excess in infant botulism.
Two infants developed evidence of antidiuretic hormone excess as a complication of infant botulism. Neither child received mechanical ventilatory support before the development of hyponatremia, serum hyposmolality, and urinary hyperosmolality. Both infants responded to fluid-intake restriction. The appearance of hyponatremia in an infant with botulism should suggest antidiuretic hormone excess. The recognition of this entity will lead to its appropriate management with fluid-intake restriction.
Kurland
G
G
Department of Pediatrics, University of California, Davis, School of Medicine.
Seltzer
J
J
D001906:Botulism / Q000150:complications / Q000175:diagnosis*; D005260:Female; D006801:Humans; D007177:Inappropriate ADH Syndrome / Q000175:diagnosis* / Q000209:etiology; D007223:Infant; D007231:Infant, Newborn