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- Title
WATER POISONING - MYTH OR REALITY? A CASE REPORT.
- Authors
Petrisor, Dragos-Ioan; Abouritei, Andreea; Paval, Alexandra; Atudosiei, Ecaterina; Dobrin, Ana; Todoran-Butilă, Anamaria
- Abstract
Background: Water intoxication, water poisoning, hyper hydration or water toxemia, is a potentially fatal disturbance in brain functions that results when the normal balance of electrolytes in the body is pushed outside safe limits by excessive water intake. Objective: Our aim is to highlight the existing problem of water poisoning especially at very young children whose diet started to be diverse. Material and methods: A 8-months-old kid presents with accentuated psychomotor agitation, sleeping troubles, nocturia with the debut 3months ago, and in the last month they accentuated. Personal and pathological antecedents: cranial perimeter is 44cm, the anterior fontanelle 3/3cm which bulges, modified sound at the cranial percussion, everything else in normal range. At the neurological exams all were normal. The psychic exam showed an active kid, who started vocalizing and catches the toys. Recent CCT and infections are denied; new diverse diet introduced 3weeks ago. We rise the suspicion of intracranial hypertension. Recommendations: transfontanellar echography, ophthalmology exam, depletive treatment with sol. Glycerol 50%+neuroroborants (vitamin B6 and Tonotil). Results: The ophthalmology exam was normal as was the transfontanellar echography. In the fourth day there were generalized edemas, anuria>12h, bulged anterior fontanelle. The Glycerol sol. is supplemented and the edemas are remitted and the diuresis is getting better. In the 6th-day the transfontanellar echography is repeated and showed a diffuse cerebral edema. Cardiac echography and cardiac exam showed an acute pericarditis. The anamnesis is repeated and we insisted on the period after the diet was diversed, and it showed a water intake >500ml/day. So the diagnosis is water intoxication. Conclusions: After following the recommendations (full elimination of water/tea intake, treatment with Acetazolamide and neuroroborante treatment: vit B6+Tonotil) in the tenth day the cardiac echography was normal. After three weeks the transfontanellar echography was normal. The kid is now calm with a quiet sleep and his development corresponds with the age stages.
- Subjects
POISONING; DRINKING (Physiology); VITAMIN B6; CEREBRAL edema; ULTRASONIC imaging; INTRACRANIAL hypertension
- Publication
Acta Medica Marisiensis, 2019, Vol 65, p40
- ISSN
2068-3324
- Publication type
Article