title: Severe hypernatremic dehydration and death in a breast-fed infant.
abstract: Breast milk is acknowledged as the best source of nutrition for neonates. We present the case of a full-term newborn who was fed solely breast milk and developed severe dehydration and hypernatremia. The patient developed cerebral edema, transverse sinus thrombosis, and died. The literature on the uncommon entity of breast-feeding hypernatremia and dehydration is reviewed, and management strategies are presented.
authors: Department of Emergency Medicine, New York Methodist Hospital, Brooklyn 11215, USA. rov9001@nyp.org
authors: R H
authors: RH
authors: van Amerongen
authors: A C
authors: AC
authors: Moretta
authors: T J
authors: TJ
authors: Gaeta
mesh_terms: D000328:Adult; D001929:Brain Edema / Q000209:etiology; D001942:Breast Feeding / Q000009:adverse effects*; D003681:Dehydration / Q000209:etiology* / Q000628:therapy; D017809:Fatal Outcome; D005260:Female; D005440:Fluid Therapy; D006801:Humans; D006955:Hypernatremia / Q000209:etiology* / Q000628:therapy; D007223:Infant; D007231:Infant, Newborn; D008895:Milk, Human / Q000737:chemistry; D015532:Rehydration Solutions / Q000032:analysis; D012769:Shock / Q000209:etiology; D012964:Sodium / Q000032:analysis
chemical_list: D015532:Rehydration Solutions; D012964:Sodium