VRS bronchiolitis with severe hyponatremia leading to acute seizures: a report of three cases

Acute bronchiolitis due to respiratory syncytial virus (RSV) can present with extrapulmonary manifestations, notably severe hyponatremia. Hyponatremia is caused by excess secretion of antidiuretic hormone and can be exacerbated by intravenous infusion of hypotonic solutions. We report three cases of...

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Bibliographic Details
Published in:Archives de pédiatrie : organe officiel de la Société française de pédiatrie 2014-12, Vol.21 (12), p.1359-1363
Main Authors: Pop Jora, D, de Suremain, N, Arnaud, C, Gréteau, S, Guellec, I, Renolleau, S, Carbajal, R
Format: Article
Language:fre
Subjects:
Acute Disease
Bronchiolitis, Viral - complications
Female
Humans
Hyponatremia - virology
Infant
Infant, Newborn
Male
Respiratory Syncytial Virus Infections - complications
Seizures - virology
Severity of Illness Index
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Summary:Acute bronchiolitis due to respiratory syncytial virus (RSV) can present with extrapulmonary manifestations, notably severe hyponatremia. Hyponatremia is caused by excess secretion of antidiuretic hormone and can be exacerbated by intravenous infusion of hypotonic solutions. We report three cases of infants admitted for acute bronchiolitis and hyponatremia leading to acute seizures. We describe how hyponatremia was corrected and analyze the management aspects that might have worsened the magnitude of hyponatremia. We underline the basic principles of water and electrolyte management of bronchiolitis.
ISSN:1769-664X
DOI:10.1016/j.arcped.2014.09.012