Abstract

RODRIGUEZ, MARíA JOSé; CAGGIANI, MARINA  and  RUBIO, IVONNE. Pseudohipoaldosteronismo transitorio secundario a pielonefritis con reflujo vesicoureteral severo en un lactante. Arch. Pediatr. Urug. [online]. 2006, vol.77, n.1, pp.29-33. ISSN 1688-1249.

Summary Secondary transitory pseudohypoaldosteronism (PHA) appears as a consequence of a tubular renal resistance to aldosterone in children with urinary infections and/or obstructive uropathy. The story of a 4 month-old child who had its second episode of dehydration, hyperkalemia, hyponatremia and metabolic acidosis without congenital suprarenal hyperplasia with normal ACTH, 17-hydroxiprogesterone and cortisol is presented. Urine culture showed Enterobacter and the studies revealed a grade V reflux. The DMSA renal scan showed a hypoplasic left kidney with an overall function of 13%. The secondary PHA was confirmed with elevated levels of renin and aldosterone. Medical and surgical treatment was realized with left nephrectomy with good evolution afterwards and normalization of lab studies

Keywords :  PSEUDOHYPOALDOSTERONISM;  URINARY TRACT INFECTIONS;  PYELONEPHRITIS;  VESICO-URETERAL REFLUX;  INFANT.

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