Hypermagnesemia-induced pseudonecrotizing enterocolitis and respiratory distress in a preterm infant: A case report
Rationale: This case highlights the rare yet critical diagnosis of hypermagnesemia in a preterm infant, who presented with symptoms mimicking necrotizing enterocolitis. It underscores the importance of considering hypermagnesemia as a differential diagnosis in neonatal respiratory distress and gastr...
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| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2024-11-01
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| Series: | Journal of Acute Disease |
| Subjects: | |
| Online Access: | https://journals.lww.com/10.4103/jad.jad_31_24 |
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| Summary: | Rationale:
This case highlights the rare yet critical diagnosis of hypermagnesemia in a preterm infant, who presented with symptoms mimicking necrotizing enterocolitis. It underscores the importance of considering hypermagnesemia as a differential diagnosis in neonatal respiratory distress and gastrointestinal symptoms, even when the cause is not immediately apparent.
Patient’s Concern:
An extremely low birth infant with respiratory distress further had episodes of apnoea and cyanosis. The infant eventually exhibited abdominal distension and bilious vomiting, symptoms mimicking necrotizing enterocolitis.
Diagnosis:
The infant’s clinical features were attributed to hypermagnesemia, despite no magnesium being administered and no apparent cause identified. Screening the apparently asymptomatic mother confirmed a serum magnesium level of 4 mg/dL, suggesting transplacental transfer as the likely cause of the neonate’s condition.
Interventions:
The newborn was treated supportively with adequate hydration and maintenance calcium gluconate.
Outcomes:
Magnesium levels decreased, and the baby showed signs of improvement.
Lessons:
Hypermagnesemia, though uncommon, should be investigated and considered even when the symptoms are not apparent. |
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| ISSN: | 2221-6189 2589-5516 |