Infant hypernatremia: a case report.
A 7-month-old infant presented to the emergency department with diarrhea, vomiting, and decreased activity. The infant was febrile, tachycardic, tachypneic, lethargic, and had a prolonged capillary refill. Initial serum sodium was 197 mmol/L. Ultimately, the infant was diagnosed with central diabetes insipidus complicated by severe dehydration secondary to rotavirus infection. A brief review of infant hypernatremia and its evaluation and treatment in the emergency department follows.
Price
T G
TG
Department of Emergency Medicine, University of Louisville, School of Medicine, Louisville, KY 40292, USA.
Kallenborn
J C
JC
D003681:Dehydration / Q000150:complications* / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D003919:Diabetes Insipidus / Q000150:complications* / Q000175:diagnosis*; D003937:Diagnosis, Differential; D005440:Fluid Therapy; D005759:Gastroenteritis / Q000150:complications / Q000175:diagnosis* / Q000821:virology; D006801:Humans; D006955:Hypernatremia / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D007223:Infant; D008297:Male