Neonatal bartter syndrome with early hyperkalemia: An unusual presentation in twins

A rare case of neonatal Bartter syndrome with atypical onset of early hyperkalemia is reported in a pair of dizygotic twins born at 25 weeks gestation to a Syrian mother. The first twin died with severe hyperkalemia at five days of age and the second survived with failure to thrive and developmental retardation. This is probably the first case reported from Kuwait. The case is discussed and relevant literature has been reviewed