Hyponatraemia and hyperkalaemia in acute pyelonephritis without urinary tract anomalies

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. Hyponatraemia and...

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Bibliographic Details
Published in:European journal of pediatrics 1995-07, Vol.154 (7), p.582-584
Main Authors: GERIGK, M, GLANZMANN, R, RASCHER, W, GNEHM, H. E
Format: Article
Language:English
Subjects:
Acute Disease
Bacterial diseases
Bacterial diseases of the urinary system
Biological and medical sciences
Diagnosis, Differential
Human bacterial diseases
Humans
Hypokalemia - blood
Hypokalemia - etiology
Hyponatremia - blood
Hyponatremia - etiology
Infant
Infant, Newborn
Infectious diseases
Male
Medical sciences
Pyelonephritis - blood
Pyelonephritis - etiology
Retrospective Studies
Urinary Tract - abnormalities
Vesico-Ureteral Reflux - blood
Vesico-Ureteral Reflux - complications
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Summary: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. 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.
ISSN:0340-6199
1432-1076
DOI:10.1007/BF02074840