The role of fludrocortisone in a child with cerebral salt wasting.
Cerebral salt wasting (CSW) is a syndrome of hyponatremia due to excessive natriuresis described in patients with central nervous system insult. We present a 29-month-old black male with tuberculous meningitis who developed CSW with depressed mineralocorticoid activity. The patient required hypertonic saline and ionotropic support. Mineralocorticoid supplementation effectively treated CSW.
Sakarcan
A
A
Department of Pediatrics, Louisiana State University Medical Center, Shreveport 71130, USA.
Bocchini
J
J
D000893:Anti-Inflammatory Agents / Q000627:therapeutic use*; D002675:Child, Preschool; D005438:Fludrocortisone / Q000627:therapeutic use*; D006801:Humans; D007010:Hyponatremia / Q000188:drug therapy* / Q000209:etiology; D008297:Male; D012964:Sodium / Q000097:blood / Q000652:urine; D014390:Tuberculosis, Meningeal / Q000150:complications*
D000893:Anti-Inflammatory Agents; D012964:Sodium; D005438:Fludrocortisone