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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| Format: | Article |
| Language: | English |
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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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| author | K Nimishashree Srinivas Darshan Rajatadri Rangaswamy Niranjan Kamble |
| author_facet | K Nimishashree Srinivas Darshan Rajatadri Rangaswamy Niranjan Kamble |
| author_sort | K Nimishashree Srinivas |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-f08f989c5bb5450889b42bd7ff7ab80f |
| institution | OA Journals |
| issn | 2221-6189 2589-5516 |
| language | English |
| publishDate | 2024-11-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Acute Disease |
| spelling | doaj-art-f08f989c5bb5450889b42bd7ff7ab80f2025-08-20T02:30:39ZengWolters Kluwer Medknow PublicationsJournal of Acute Disease2221-61892589-55162024-11-0113519319510.4103/jad.jad_31_24Hypermagnesemia-induced pseudonecrotizing enterocolitis and respiratory distress in a preterm infant: A case reportK Nimishashree SrinivasDarshan Rajatadri RangaswamyNiranjan KambleRationale: 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.https://journals.lww.com/10.4103/jad.jad_31_24necrotizing enterocolitissepsispretermrespiratory distresscalcium |
| spellingShingle | K Nimishashree Srinivas Darshan Rajatadri Rangaswamy Niranjan Kamble Hypermagnesemia-induced pseudonecrotizing enterocolitis and respiratory distress in a preterm infant: A case report Journal of Acute Disease necrotizing enterocolitis sepsis preterm respiratory distress calcium |
| title | Hypermagnesemia-induced pseudonecrotizing enterocolitis and respiratory distress in a preterm infant: A case report |
| title_full | Hypermagnesemia-induced pseudonecrotizing enterocolitis and respiratory distress in a preterm infant: A case report |
| title_fullStr | Hypermagnesemia-induced pseudonecrotizing enterocolitis and respiratory distress in a preterm infant: A case report |
| title_full_unstemmed | Hypermagnesemia-induced pseudonecrotizing enterocolitis and respiratory distress in a preterm infant: A case report |
| title_short | Hypermagnesemia-induced pseudonecrotizing enterocolitis and respiratory distress in a preterm infant: A case report |
| title_sort | hypermagnesemia induced pseudonecrotizing enterocolitis and respiratory distress in a preterm infant a case report |
| topic | necrotizing enterocolitis sepsis preterm respiratory distress calcium |
| url | https://journals.lww.com/10.4103/jad.jad_31_24 |
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