title: [VRS bronchiolitis with severe hyponatremia leading to acute seizures: a report of three cases].
abstract: Acute bronchiolitis due to respiratory syncytial virus (RSV) can present with extrapulmonary manifestations, notably severe hyponatremia. Hyponatremia is caused by excess secretion of antidiuretic hormone and can be exacerbated by intravenous infusion of hypotonic solutions. We report three cases of infants admitted for acute bronchiolitis and hyponatremia leading to acute seizures. We describe how hyponatremia was corrected and analyze the management aspects that might have worsened the magnitude of hyponatremia. We underline the basic principles of water and electrolyte management of bronchiolitis.
authors.affiliation: Service des urgences pédiatriques, hôpital Armand-Trousseau, assistance publique-hôpitaux de Paris, 26, avenue du Dr-Netter, 75012 Paris, France. Electronic address: domnicapop@gmail.com.
authors.forename: D
authors.initials: D
authors.lastname: Pop Jora
authors.affiliation: Service des urgences pédiatriques, hôpital Armand-Trousseau, assistance publique-hôpitaux de Paris, 26, avenue du Dr-Netter, 75012 Paris, France.
authors.forename: N
authors.initials: N
authors.lastname: de Suremain
authors.affiliation: Service des urgences pédiatriques, hôpital Armand-Trousseau, assistance publique-hôpitaux de Paris, 26, avenue du Dr-Netter, 75012 Paris, France.
authors.forename: C
authors.initials: C
authors.lastname: Arnaud
authors.affiliation: Service de pédiatrie, réanimation pédiatrique, néonatologie et urgences pédiatriques, université, centre hospitalier de Pau, 4, boulevard Hauterive, 64046 Pau cedex, France.
authors.forename: S
authors.initials: S
authors.lastname: Gréteau
authors.affiliation: Service de réanimation pédiatrique, hôpital Armand-Trousseau, assistance publique-hôpitaux de Paris, 26, avenue du Dr-Netter, 75012 Paris, France.
authors.forename: I
authors.initials: I
authors.lastname: Guellec
authors.affiliation: Service de réanimation pédiatrique, hôpital Armand-Trousseau, assistance publique-hôpitaux de Paris, 26, avenue du Dr-Netter, 75012 Paris, France.
authors.forename: S
authors.initials: S
authors.lastname: Renolleau
authors.affiliation: Service des urgences pédiatriques, hôpital Armand-Trousseau, assistance publique-hôpitaux de Paris, 26, avenue du Dr-Netter, 75012 Paris, France; Université Pierre et Marie-Curie, Paris VI, 75005 Paris, France; Inserm U953, 75012 Paris, France.
authors.forename: R
authors.initials: R
authors.lastname: Carbajal
mesh_terms: D000208:Acute Disease; D001990:Bronchiolitis, Viral / Q000150:complications*; D005260:Female; D006801:Humans; D007010:Hyponatremia / Q000821:virology*; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D018357:Respiratory Syncytial Virus Infections / Q000150:complications*; D012640:Seizures / Q000821:virology*; D012720:Severity of Illness Index