The Journal of Health, Population and Nutrition
Vol. 30, No. 3, 2012, pp. 371-376
Bioline Code: hn12043
Full paper language: English
Document type: Case Report
Document available free of charge
The Journal of Health, Population and Nutrition, Vol. 30, No. 3, 2012, pp. 371-376
© Copyright 2012 - Journal of Health Population and Nutrition
Use of Only Oral Rehydration Salt Solution for Successful Management of a Young Infant with Serum Sodium of 201 mmol/L in an Urban Diarrhoeal Diseases Hospital, Bangladesh|
Chisti, Mohammod J.; Pietroni, Mark A.C.; Alom, Mohammad Samsul & Smith, Jonathan Harvey
A boy aged 4 months 7 days was admitted to the Intensive Care Unit (ICU) of the Dhaka Hospital of
icddr,b, Dhaka, Bangladesh, with the problems of acute watery diarrhoea with some dehydration, pneumonia,
lethargy, and hypernatraemia (serum sodium of 201 mmol/L). Correction for hypernatraemia was
tried by using only oral rehydration salt (ORS) solution. Seizures occurred during correction of the hypernatraemia.
These were difficult to control and required three doses of injection lorazepam, a loading dose
of injection phenobarbitone, followed by injection phenytoin and finally two doses of injection mannitol
(even though there was no clinical or imaging evidence by ultrasonography or computed tomography of
cerebral oedema). The correction was continued with ORS, and all the anticonvulsants were successfully
weaned without any further seizures, and the patient recovered without any overt neurological sequelae.
We present a case report of extreme hypernatraemia, which was successfully managed using only ORS.
Diarrhoea; Hypernatraemia; Infant; ORS; Bangladesh
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