Clinical observation of a newborn with suspected Bartter’s disease

Abstract

Early diagnosis of Bartter syndrome in an extremely low birth weight baby is a clinical challenge because of the inherent renal immaturity and the instability of fluid-electrolyte balance. How-ever, once a diagnosis is made, the disorder is known to respond well to fluid and electrolyte management, prostaglandin inhibitors, and potassium-sparing diuretics allow successfully manage the existing pathology and avoid possible complications. Herein, we report a case of suspected neonatal Bartter syndrome, a rare and life-threatening condition characterized by metabolic alkalosis, hypokalemia, hypercalciuria, nephrocalcinosis, polyuria, and dehydration.in a very premature ELBW infant.