Document Detail

Salt-losing crisis in infants-not always of adrenal origin.
MedLine Citation:
PMID:  21833495     Owner:  NLM     Status:  MEDLINE    
CONCLUSION: Establishing the diagnosis of congenital adrenal disorders is essential in a baby who develops a salt-losing crisis in the first few weeks of life. However, pyelonephritis should be considered and can be rapidly excluded in any infant presenting with a salt-losing crisis with hyponatremia and hyperkalaemia, in particular, outside the neonatal period. Only then should an endocrine cause for this presentation be considered and treatment commenced.
Bharathi Pai; Nick Shaw; Wolfgang Högler
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2011-08-11
Journal Detail:
Title:  European journal of pediatrics     Volume:  171     ISSN:  1432-1076     ISO Abbreviation:  Eur. J. Pediatr.     Publication Date:  2012 Feb 
Date Detail:
Created Date:  2012-01-16     Completed Date:  2012-09-11     Revised Date:  2013-05-20    
Medline Journal Info:
Nlm Unique ID:  7603873     Medline TA:  Eur J Pediatr     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  317-21     Citation Subset:  IM    
Department of Endocrinology and Diabetes, Birmingham Children's Hospital, Steelhouse Lane, Birmingham, B4 6NH, UK.
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MeSH Terms
Diagnosis, Differential
Escherichia coli Infections / complications,  diagnosis
Hyperkalemia / etiology*
Hyponatremia / etiology*
Kidney / abnormalities*
Klebsiella Infections / complications,  diagnosis
Klebsiella oxytoca / isolation & purification
Pseudohypoaldosteronism / diagnosis,  etiology*
Pyelonephritis / complications,  diagnosis*,  microbiology,  urine
Streptococcal Infections / complications,  diagnosis
Vomiting / etiology

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