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Child abuse: acute water intoxication in a hyperactive child
Chih-Yang Lin1, Yong-Kwei Tsau
1Department of Pediatrics, National Taiwan University Hospital and National Taiwan University College of Medicine, National Taiwan University, Taipei, Taiwan.
Acta Paediatrica Taiwanica = Taiwan Er Ke Yi Xue Hui Za Zhi
|November 24, 2005
Summary
A child presented with coma and seizure due to acute water intoxication. This case highlights the potential link between compulsive water drinking, child abuse, and hyperactivity disorder.
Area of Science:
- Pediatrics
- Toxicology
- Child Psychiatry
Background:
- Acute water intoxication is a rare but serious condition, particularly in children.
- It can lead to severe neurological complications, including coma and seizures.
- Physical child abuse may present with non-specific signs, complicating diagnosis.
Observation:
- A 4-year-8-month-old boy presented with coma, seizure, and rapid weight gain.
- Physical examination revealed signs of child abuse.
- Laboratory tests showed severe hyponatremia with normal renal function; MRI revealed diffuse brain swelling.
Findings:
- The clinical presentation and diagnostic findings were consistent with acute water intoxication.
- History revealed chronic polydipsia with acute compulsive water drinking.
- The patient was diagnosed with hyperactivity disorder, suggesting a potential link.
Implications:
- This case underscores the importance of considering water intoxication in children with unexplained neurological symptoms and signs of abuse.
- It highlights a possible correlation between compulsive water drinking, child abuse, and hyperactivity disorder.
- Early diagnosis and psychiatric intervention are essential for managing such complex cases.