Infantile Status Epilepticus: A Case of Excessive Water Intake in a Five-Month-Old Girl

Abeer Alshaikh1, Abdulrahman A Aldoseri1, Raafat Hammad Seroor Jadah2

  • 1Pediatrics, Bahrain Defense Force Hospital, Riffa, BHR.

Cureus
|April 29, 2024
PubMed

Insights

Water intoxication can cause severe hyponatremia and status epilepticus in infants under six months. Early diagnosis and management are crucial for successful outcomes in these pediatric cases.

Area of Science:

  • Pediatric Medicine
  • Neonatology
  • Clinical Case Reports

Background:

  • Hyponatremia is a frequent cause of seizures in infants under six months.
  • Water intoxication is a rare but life-threatening cause of hyponatremia.

Observation:

  • A five-month-old infant presented with status epilepticus, facial puffiness, cyanosis, and severe hyponatremia.
  • The infant's condition was secondary to water intoxication.

Findings:

  • The patient was successfully diagnosed and managed with appropriate investigations and laboratory tests.
  • This case highlights the critical link between water intoxication and secondary status epilepticus in young infants.

Implications:

  • Emphasizes the importance of considering water intoxication in infants presenting with seizures and hyponatremia.
  • Underscores the need for prompt recognition and intervention to prevent severe neurological complications.
  • Provides valuable insights for clinicians managing pediatric hyponatremia and seizures.

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