title: [Severe hypernatremia due to sea water ingestion in a child].
abstract: Drowning in sea water is an unusual cause of severe hypernatremia. We report the case of a 3.5-year-old boy who died 11h after drowning in sea water, with a serum sodium level of 178 mmoL/L. In this case, hypernatremia was aggravated by diarrhea and hyperglycemia with glycosuria. Usually, correction of acute hypernatremia must be quick and early, aiming at a reduction of serum sodium concentration of up to 1-2 mmoL per liter per hour.
authors.affiliation: Service de réanimation pédiatrique, hôpital Mère-Enfant, CHU de Nantes, 7, quai Moncousu, 44093 Nantes cedex 1, France. Electronic address: gaelle.hubert44@gmail.com.
authors.forename: G
authors.initials: G
authors.lastname: Hubert
authors.affiliation: Service de réanimation pédiatrique, hôpital Mère-Enfant, CHU de Nantes, 7, quai Moncousu, 44093 Nantes cedex 1, France.
authors.forename: J-M
authors.initials: JM
authors.lastname: Liet
authors.affiliation: Service de réanimation pédiatrique, hôpital Mère-Enfant, CHU de Nantes, 7, quai Moncousu, 44093 Nantes cedex 1, France.
authors.forename: F
authors.initials: F
authors.lastname: Barrière
authors.affiliation: Service de réanimation pédiatrique, hôpital Mère-Enfant, CHU de Nantes, 7, quai Moncousu, 44093 Nantes cedex 1, France.
authors.forename: N
authors.initials: N
authors.lastname: Joram
mesh_terms: D001926:Brain Death; D002675:Child, Preschool; D017809:Fatal Outcome; D006801:Humans; D006955:Hypernatremia / Q000209:etiology*; D008297:Male; D015701:Near Drowning / Q000150:complications*; D012623:Seawater / Q000009:adverse effects*; D012720:Severity of Illness Index