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Case Reports
. 2016 Aug 6:8:61-2.
doi: 10.1016/j.eucr.2016.07.001. eCollection 2016 Sep.

Secondary or Transient Pseudohypoaldosteronism Associated With Urinary Tract Anomaly and Urinary Infection: A Case Report

Vinod Krishnappa  1 , Jonathan H Ross  2 , David N Kenagy  3 , Rupesh Raina  3
Affiliations
Case Reports

Secondary or Transient Pseudohypoaldosteronism Associated With Urinary Tract Anomaly and Urinary Infection: A Case Report

Vinod Krishnappa et al. Urol Case Rep. .

Abstract

Hyponatremia with hyperkalemia in infancy is a rare presentation, but may be due to aldosterone deficiency or end organ resistance to its action. There are few cases associating this condition with urinary tract infections or anatomic abnormalities that predispose to infection. Clinicians should have a high index of suspicion in diagnosing secondary pseudohypoaldosteronism (PHA) due to its often atypical presentation. We describe ten month-old infant who presented with this condition and was found to have urinary tract infection complicating unilateral urinary tract anomaly, which may have strong association with renal tubular resistance to aldosterone.

Keywords: Hyperkalemia; Hyponatremia; Pseudohypoaldosteronism; Urinary tract anomalies; Urinary tract infections.

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Figures

Figure 1
Figure 1
Renal ultrasonography showing duplicated left collecting system.
See this image and copyright information in PMC

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