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Year : 2013  |  Volume : 23  |  Issue : 1  |  Page : 47-50

Neonatal Bartter syndrome associated with ileal atresia and cystic fibrosis

Neonatal Unit, Leicester Royal Infirmary, Leicester, United Kingdom

Correspondence Address:
A O Akuma
Neonatal Unit, Leicester Royal Infirmary, Leicester
United Kingdom
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Source of Support: None, Conflict of Interest: We declare that there is no conflict of interest that could be perceived as prejudicing the impartiality of the research reported.

DOI: 10.4103/0971-4065.107200

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A rare case of neonatal Bartter syndrome presenting with severe hyperkalemia is reported in a preterm child born to consanguineous parents. This child also had ileal atresia, and meconium plugs were found at laparotomy. The diagnosis of cystic fibrosis was subsequently made on genetic testing. Despite full intensive care management and surgical interventions, he died of respiratory failure after 70 days. This is the first reported case of such conglomeration of pathologies in a newborn child. Second, in highlighting this case we want clinicians to be aware that a subtype of neonatal Bartter syndrome can present with initial hyperkalemia so that an erroneous diagnosis of pseudohypoaldosteronism is not made when this is seen in combination with hyperkalemia and hyperrenin hyperaldosteronism.


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Indian Journal of Nephrology
Published by Wolters Kluwer - Medknow
Online since 20th Sept '07