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- Document 0159
- DOCN M9620159
- TI Hyponatremia in pediatric patients with HIV-1 infection.
- DT 9602
- AU Tolaymat A; al-Mousily F; Sleasman J; Paryani S; Neiberger R; Department
- of Pediatrics, University of Florida College of; Medicine, Jacksonville,
- USA.
- SO South Med J. 1995 Oct;88(10):1039-42. Unique Identifier : AIDSLINE
- MED/96011782
- AB Hyponatremia has been recognized as a complication in adults with
- acquired immunodeficiency syndrome (AIDS). We did a retrospective study
- evaluating the medical records of 86 children (age 4 months to 21 years)
- with human immunodeficiency virus (HIV-1) infection to determine the
- frequency and clinical associations of hyponatremia. Twenty-two children
- (26%) developed hyponatremia (serum sodium < 135 mEq/L; range 104 to 134
- mEq/L; mean 130 mEq/L). Fourteen were male; 18 of the 22 patients were
- black and 4 were white. At the time of hyponatremia, the children
- frequently had comorbid associations, including 8 (35%) with AIDS
- encephalopathy; 3 (14%) with cardiomyopathy; 3 (14%) using diuretics; 1
- (5%) using pentamidine; 3 (14%) with bacterial pneumonia; 2 (9%)
- requiring gastric lavage feedings; 2 (9%) with tuberculosis meningitis;
- 2 (9%) with gastroenteritis; 1 (5%) with infection caused by
- Mycobacterium avium-intracellulare; 1 (5%) each with brain tumor and
- tumor metastasis to brain. The cause of hyponatremia was attributed to
- syndrome of inappropriate antidiuretic hormone in 8 children; poor
- sodium intake and/or excessive diarrheal losses in 5; and the use of
- diuretics in 3 patients. Mild hyponatremia with no identifiable cause
- was found in 5 patients.
- DE Acquired Immunodeficiency Syndrome/*COMPLICATIONS/IMMUNOLOGY
- Adolescence Adult AIDS Dementia Complex/EPIDEMIOLOGY AIDS-Related
- Complex/*COMPLICATIONS/IMMUNOLOGY Brain Neoplasms/EPIDEMIOLOGY
- Cerebral Embolism and Thrombosis/EPIDEMIOLOGY Child Child, Preschool
- Comorbidity CD4 Lymphocyte Count Female Gastroenteritis/EPIDEMIOLOGY
- Human Hyponatremia/*EPIDEMIOLOGY/ETIOLOGY *HIV-1 Incidence Infant
- Male Myocardial Diseases/EPIDEMIOLOGY Pneumonia/EPIDEMIOLOGY
- Retrospective Studies Tuberculosis, Meningeal/EPIDEMIOLOGY JOURNAL
- ARTICLE
-
- SOURCE: National Library of Medicine. NOTICE: This material may be
- protected by Copyright Law (Title 17, U.S.Code).
-
-