From the Department of Pediatrics, Rady Children's Hospital San Diego, University of California San Diego, San Diego, California.
Department of Pediatrics, Kawasaki Disease Research Center, Rady Children's Hospital San Diego, University of California San Diego, San Diego, California.
Pediatr Infect Dis J. 2021 Sep 1;40(9):e344-e346. doi: 10.1097/INF.0000000000003219.
We report 2 patients with multisystem inflammatory syndrome in children with evidence of hyponatremia on admission. Despite fluid resuscitation and resolution of dehydration, the hyponatremia worsened. Serum and urine studies were evaluated and demonstrated evidence of syndrome of inappropriate antidiuretic hormone. Fluid restriction and anti-inflammatory therapy were initiated with resolution of hyponatremia.
我们报告了 2 例儿童多系统炎症综合征患者,入院时存在低钠血症的证据。尽管进行了液体复苏和脱水纠正,但低钠血症仍恶化。进行了血清和尿液研究,结果表明存在抗利尿激素不适当分泌综合征。限制液体摄入和抗炎治疗后,低钠血症得到纠正。