Hypernatremia in Newborn Due to Uncontrolled Maternal Diabetes Insipidus
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Neonatal hypernatremia often occurs in poorly breastfeeding infants, and rehydration without complications is the primary treatment. However, the etiologies and management for neonates who present with hypernatremia immediately after birth are not well reported. In this case report, we describe a neonate with hypernatremia and hyperosmolality, born to a mother with oligohydramnios of unknown etiology. Meticulous fluid therapies considering the time to physiologic diuresis were successfully performed, and the underlying cause was determined to be an uncontrolled maternal central diabetes insipidus.
Abstract
Neonatal hypernatremia often occurs in poorly breastfeeding infants, and rehydration without complications is the primary treatment. However, the etiologies and management for neonates who present with hypernatremia immediately after birth are not well reported. In this case report, we describe a neonate with hypernatremia and hyperosmolality, born to a mother with oligohydramnios of unknown etiology. Meticulous fluid therapies considering the time to physiologic diuresis were successfully performed, and the underlying cause was determined to be an uncontrolled maternal central diabetes insipidus.
참고문헌 (10)
- Lavagno C, "Breastfeeding-associated hypernatremia : a systematic review of the literature", J Hum Lact, 32, pp.67~74 (2016)
- Tomarelli G, "Extreme neonatal hypernatremia and acute kidney injury associated with failure of lactation", J Pediatr Intensive Care, 9, pp.124~127 (2020)
- Sarin A, "Neonatal hypernatremic dehydration", Pediatr Ann, 48, pp.e197~e200 (2019)
- Sha XY, "Maternal-fetal fluid balance and aquaporins : from molecule to physiology", Acta Pharmacol Sin, 32, pp.716~720 (2011)
- Shennan DB, "Ion transport by the placenta : a review of membrane transport systems", Biochim Biophys Acta, 906, pp.437~457 (1987)
- Schreyer P, "Maternal dehydration : impact on ovine amniotic fluid volume and composition", J Dev Physiol, 13, pp.283~287 (1990)
- Bidiwala KS, "Renal function correlates of postnatal diuresis in preterm infants", Pediatrics, 82, pp.50~58 (1988)
- Marques P, "Transient diabetes insipidus in pregnancy", Endocrinol Diabetes Metab Case Rep, 2015, pp.150078~ (2015)
- Sum M, "Pitfall in the diagnosis of diabetes insipidus and pregnancy", Case Rep Obstet Gynecol, 2017, pp.7879038~ (2017)
- Lamas C, "Clinical guidelines for management of diabetes insipidus and syndrome of inappropriate antidiuretic hormone secretion after pituitary surgery", Endocrinol Nutr, 61, pp.e15~e24 (2014)