ABSTRACT
Early diagnosis of Bartter syndrome (BS) in the neonatal period is a clinical challenge, more so in an extremely low birth weight (ELBW) baby because of the inherent renal immaturity and the associated difficulty in fluid management. However, once a diagnosis is made, the disorder is known to respond well to fluid and electrolyte management, prostaglandin inhibitors, and potassium-sparing diuretics. Herein, we report a case of neonatal BS in a very premature ELBW infant.
Subject(s)
Bartter Syndrome/diagnosis , Infant, Extremely Premature , Infant, Very Low Birth Weight , Loop of Henle/physiopathology , Acid-Base Imbalance/etiology , Acid-Base Imbalance/physiopathology , Bartter Syndrome/complications , Bartter Syndrome/physiopathology , Bartter Syndrome/therapy , Birth Weight , Cyclooxygenase Inhibitors/therapeutic use , Diuretics, Potassium Sparing/therapeutic use , Female , Fluid Therapy , Gestational Age , Humans , Hypokalemia/etiology , Hypokalemia/physiopathology , Indomethacin/therapeutic use , Infant, Newborn , Loop of Henle/drug effects , Polyuria/etiology , Polyuria/physiopathology , Predictive Value of Tests , Spironolactone/therapeutic use , Treatment OutcomeABSTRACT
Pseudotumor cerebri is a condition of elevated intracranial pressure in the absence of clinical, laboratory or radiological evidence of an intracranial space-occupying lesion. Various associations with pseudotumor cerebri have been made in literature. We report the case of a five-month-old female infant with vitamin D deficiency rickets, who presented with pseudotumor cerebri. Her cerebrospinal fluid examination was normal, with a high opening pressure of 330 mmH2O. Her computed tomography scan was normal. After lumbar puncture the anterior fontanelle came at level. Her investigations revealed vitamin D deficiency. She was started on acetazolamide, calcitriol sachets, and calcium supplements. She became asymptomatic in three days and was discharged. Through this case we wish to highlight this unusual presentation of vitamin D deficiency rickets appearing as pseudotumor cerebri.
