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Acute peritoneal dialysis as both cause and treatment of hypernatremia in an infant

  • Dialysis / Brief Report
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Pediatric Nephrology Aims and scope Submit manuscript

Abstract.

This report describes a 4-month-old infant with multisystem organ failure who developed severe hypernatremia (sodium 168 mEq/l) due to rapid free water removal associated with acute peritoneal dialysis instituted for fluid overload. The current report describes the pathophysiology of the hypernatremia, and its correction by low-sodium hypertonic peritoneal dialysis without compromising ultrafiltration or supplementing with free water. Although peritoneal dialysis can cause hypernatremia, a modified solute concentration in the dialysate can treat the hypernatremia successfully.

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Authors and Affiliations

  1. Division of Nephrology, Children’s Hospital of Pittsburgh, 3705 Fifth Avenue, Pittsburgh, PA 15213–2538, USA. moritzm@chplink.chp.edu, , , , , , US

    M. L. Moritz

  2. Department of Pediatrics, Albert Einstein College of Medicine-Montefiore Medical Center, Bronx, New York, USA, , , , , , US

    Marcella del Rio, Gregory A. Crooke & Lewis P. Singer

Authors
  1. M. L. Moritz
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  2. Marcella del Rio
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  3. Gregory A. Crooke
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  4. Lewis P. Singer
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Additional information

Received: 2 January 2001 / Revised: 24 April 2001 / Accepted: 24 April 2001

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Moritz, M., del Rio, M., Crooke, G. et al. Acute peritoneal dialysis as both cause and treatment of hypernatremia in an infant. Pediatr Nephrol 16, 697–700 (2001). https://doi.org/10.1007/s004670100644

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  • DOI: https://doi.org/10.1007/s004670100644

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