Hypertonic saline-induced urolithiasis presenting as acute renal failure in a child with traumatic brain injury: A case report.

Anti-epileptic drugs Hypertonic saline Nephrolithiasis Pediatric

Journal

Urology case reports
ISSN: 2214-4420
Titre abrégé: Urol Case Rep
Pays: United States
ID NLM: 101626357

Informations de publication

Date de publication:
Jan 2021
Historique:
received: 09 10 2020
accepted: 15 10 2020
entrez: 16 11 2020
pubmed: 17 11 2020
medline: 17 11 2020
Statut: epublish

Résumé

We report the case of a 4 year old female with severe traumatic brain injury who developed bilateral obstructing ureteral stones after hypertonic saline treatment. She developed calcium phosphate stones after two weeks of hypertonic saline therapy, and was successfully treated with ureteral stents and ureteroscopy. She has remained stone-free since that time. We postulate that an incomplete type 1 renal tubular acidosis made her intolerant to the acid and sodium load of the saline, and discuss other lithogenic factors of her presentation.

Identifiants

pubmed: 33194552
doi: 10.1016/j.eucr.2020.101452
pii: S2214-4420(20)30341-7
pmc: PMC7642832
doi:

Types de publication

Case Reports

Langues

eng

Pagination

101452

Informations de copyright

© 2020 The Authors.

Références

J Urol. 2014 Nov;192(5):1329-36
pubmed: 24960469
J Am Soc Nephrol. 2016 Dec;27(12):3511-3520
pubmed: 27468975
Neurology. 2004 Nov 23;63(10 Suppl 4):S24-9
pubmed: 15557547
Am J Kidney Dis. 2016 Sep;68(3):488-98
pubmed: 27188519
BMC Nephrol. 2017 Apr 18;18(1):136
pubmed: 28420322

Auteurs

Jasper Bash (J)

Department of Urology, Oregon Health & Science University, Portland, OR, USA.

Sarah Hecht (S)

Department of Urology, Oregon Health & Science University, Portland, OR, USA.

Aaron Bayne (A)

Department of Urology, Oregon Health & Science University, Portland, OR, USA.

Casey Seideman (C)

Department of Urology, Oregon Health & Science University, Portland, OR, USA.

Classifications MeSH