Volume : 7, Issue : 4, April - 2018

Infant with Metabolic Alkalosis: Pseudo-Bartter‘s Syndrome due to Furosemide.

Dr. Isha Bansal, Dr. Onkar Kakare, Dr. Piyush Patel, Dr. Abhijit Korane, Dr. Nigade, Dr. S. Sharma

Abstract :

<p class="BodyA"><span style="font-size:12.0pt;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">Metabolic alkalosis is an uncommon acid-base disorder in which serum bicarbonate concentration is increased. Two most imporatnt causes of metabolic alkalosis are emesis and diuretic use.</span><span style="font-size:12.0pt;font-family:&#10;&quot;Times New Roman&quot;,&quot;serif&quot;;mso-fareast-font-family:&quot;Times New Roman&quot;"><o:p></o:p></span></p> <p class="BodyA"><span style="font-size:12.0pt;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">Recently, metabolic mimicry of Bartter&rsquo;s Syndrome by vomitting, diarrhea, laxatives and diuretic abuse has been reported. We had female infant in our nephrology department who developed pseudo-bartter&rsquo;s syndrome as the result of surreptitious use of furosemide. In metabolic studies patient exhibited abnormalities similar to those reported in Bartter&rsquo;s syndrome: hypokalemic metabolic alkalosis. Indomethacin therapy resulted in marked improvement in general condition of these children. </span><span style="font-size:12.0pt;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;&#10;mso-fareast-font-family:&quot;Times New Roman&quot;"><o:p></o:p></span></p>