Objective - To report a rare case of hypernatremic dehydration in an exclusively breastfed infant. Case report - We present a term newborn, 14-day-old boy, exclusively breastfed, who was lethargic and severely dehydrated upon admission (35% birth weight loss). The newborn was found to have severe hypernatremic dehydration (Na+ 197 mmol/l), acute renal insufficiency (Creatinine 273 µmol/l) and metabolic acidosis. Also, the blood culture result was positive. Intravenous rehydration and antibiotic therapy were started. After 22 days of hospitalization, the infant was discharged home in a good general condition. Now the child is 13 months old, he is healthy and no neurologic sequelae are noticed. Conclusion - Hypernatremic dehydration in newborns is a rare complication, which is dangerous, but also preventable. Prevention consists in educating mothers about successful breastfeeding techniques, and also early newborn reassessment after discharge from the hospital is mandatory. [ABSTRACT FROM AUTHOR] Copyright of Pedijatrija Danas: Pediatrics Today is the property of Central European Journal of Pediatrics and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
CITATION STYLE
Krasniqi, F. (2016). Severe hypernatremic dehydration in a breastfed infant. Paediatrics Today, 12(2), 179–183. https://doi.org/10.5457/p2005-114.155
Mendeley helps you to discover research relevant for your work.