Atilla ÇİFCİ, Gülseren ŞAHİN, Esma ALTINEL, Saliha KANIK, Şit UÇAR, Pelin ZORLU

İdrar Yolu Enfeksiyonuna Sekonder Psödohipoaldosteronizm

Pseudohipoaldosteronizm, hiperkalemi, hiponatremi ve metabolik asidoz ile kendini gösteren ve renal tubül hücrelerinde aldesterona yanıtsızlıkla karakterize bir sendromdur. Pseodohipoaldosteronizmin sekonder formunun çoğu olguda obstrüktif üropati veya vezikoüreteral reflüye sekonder pyelonefritle ilişkili olduğu rapor edilmiştir. Ancak bu hiponatremi/hiperkalemi tablosu süt çocuklarında, üropati olmadan bile, akut piyelonefritle de oluşabilir. Burada idrar yolu anomalisi olmadan akut pyelonefrite sekonder psödohipoaldosteronizmi ve meningoseli olan 38 günlük kız hastayı sunduk.

Anahtar Kelimeler:

Akut pyelonefrit, süt çocuğu, psödohipoaldesteronizm

SECONDARY PSEUDOHYPOALDESTERONISM WITH URINARY TRACT INFECTION

Pseudohypoaldosteronism is a syndrome characterized by unrepsonsiveness to aldosterone of renal tubuli and is manifested by hyperkalemia, hyponatremia and metabolic acidosis. Most of the secondary forms of pseudohypoaldosteronism have been reported to be associated with pyelonephritis secondary to obstructive uropathy or vesicoureteral reflux. However, this hyponathremia/hyperkalemia condition may also be seen in infants with acute pyelonephritis, even in the absence of uropathy. Herein we report 38-day-old female patient with meningocele and pseudohypoaldosteronism secondary to acute pyelonephritis who had no urinary tract anomalies

Keywords:

Acute pyelonephritis, infant, pseudohypoaldosteronism,

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