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. 1995 Jul;154(7):582-4.
doi: 10.1007/BF02074840.

Hyponatraemia and hyperkalaemia in acute pyelonephritis without urinary tract anomalies

M Gerigk  1 , R Glanzmann, W Rascher, H E Gnehm
Affiliations

Hyponatraemia and hyperkalaemia in acute pyelonephritis without urinary tract anomalies

M Gerigk et al. Eur J Pediatr. 1995 Jul.

Abstract

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.

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