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Published on: September 20, 2024
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.
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.
Abstract:
Hyponatremia in children, especially in normal infants below the age of six months, is a common cause of the first onset of afebrile convulsions, which can be rarely associated with water intoxication and can lead to a state of encephalopathy and status epilepticus if not diagnosed and managed properly early. Water intoxication is an uncommon but potentially lethal cause of hyponatremia. We report a five-month-old girl who presented to our hospital with status epilepticus, facial puffiness, cyanosis, and severe hyponatremia secondary to water intoxication. Proper investigations and labs were done, and the patient was managed successfully. The aim of reporting this case is to highlight the importance of water intoxication with secondary status epilepticus in infants below six months of age.
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