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

Volume : VII, Issue : IV, 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 :

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.

Recently, metabolic mimicry of Bartter�s Syndrome by vomitting, diarrhea, laxatives and diuretic abuse has been reported. We had female infant in our nephrology department who developed pseudo-bartter�s syndrome as the result of surreptitious use of furosemide. In metabolic studies patient exhibited abnormalities similar to those reported in Bartter�s syndrome: hypokalemic metabolic alkalosis. Indomethacin therapy resulted in marked improvement in general condition of these children.