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Hypernatraemic dehydration after Lucozade.

I K Bucens¹, A G Catto-Smith

¹Royal Children's Hospital, Parkville, VIC.

The Medical Journal of Australia

|July 15, 1991

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Using hypertonic fluids like Lucozade for gastroenteritis can cause severe hypernatraemic dehydration and seizures in children. This case highlights the dangers of inappropriate rehydration therapy, emphasizing the need for correct fluid choices.

Area of Science:

Pediatrics
Emergency Medicine
Clinical Toxicology

Background:

Gastroenteritis is a common childhood illness often treated with fluid replacement.
The choice of rehydration fluid is critical in managing electrolyte balance and preventing complications.

Observation:

A two-year-old girl presented with shock and unconsciousness after a 36-hour diarrhoeal illness treated with Lucozade.
She developed worsening diarrhea, seizures, hypernatraemic dehydration, and decorticate posturing.

Findings:

Treatment included intravenous fluids, intensive care, anticonvulsants, and antibiotics.
Initial neurological impairment persisted for 14 days, but a good recovery with no deficit was noted at six months.

Implications:

Related Experiment Videos

Inappropriate use of hypertonic fluids in gastroenteritis can lead to severe electrolyte disturbances and neurological sequelae.
This case underscores the importance of selecting appropriate rehydration solutions to avoid adverse outcomes in pediatric gastroenteritis.