Related Experiment Videos
Hyponatraemia and hyperkalaemia in acute pyelonephritis without urinary tract anomalies
M Gerigk1, R Glanzmann, W Rascher
1Zentrum für Kinderheilkunde, Giessen, Germany.
European Journal of Pediatrics
|July 1, 1995
Abstract
Unlabelled:
Three children with severe hyponatraemia and hyperkalaemia associated with acute pyelonephritis are reported. All were very young male infants in a poor general condition and seriously dehydrated. Diagnostic procedures did not detect obstructive uropathy or vesico-ureteric reflux.
Conclusion:
Hyponatraemia and hyperkalaemia occurs in young infants with severe acute pyelonephritis in the absence of obstructive uropathy or vesico-ureteric reflux. The severe inflammation of the kidney itself may explain the electrolyte disturbance by a transient resistance of the distal tubule to aldosterone.