Hipernatremia grave por administración accidental de sal común
Fatal hypernatremia due to exogenous salt intake
I. Martos Sánchez*, P. Ros Pérez, E. Otheo de Tejada, J.L. Vázquez Martínez, C. Pérez-Caballero, L. Fernández Pineda
Unidad de Cuidados Intensivos Pediátrica. Hospital Ramón y Cajal. Madrid
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"apellidos" => "Ros Pérez" ] 2 => array:2 [ "nombre" => "E." "apellidos" => "Otheo de Tejada" ] 3 => array:2 [ "nombre" => "J.L." "apellidos" => "Vázquez Martínez" ] 4 => array:2 [ "nombre" => "C." "apellidos" => "Pérez-Caballero" ] 5 => array:2 [ "nombre" => "L." "apellidos" => "Fernández Pineda" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Unidad de Cuidados Intensivos Pediátrica. Hospital Ramón y Cajal. Madrid" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "*" "correspondencia" => "<span class="elsevierStyleItalic"><span class="elsevierStyleBold">Correspondencia</span></span>: Huertas, 65, 4.° izqda. 28014 Madrid." ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Fatal hypernatremia due to exogenous salt intake" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2000-03-01" "fechaAceptado" => "2000-07-13" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec186495" "palabras" => array:3 [ 0 => "<span class="elsevierStyleItalic">Hipernatremia aguda</span>" 1 => "<span class="elsevierStyleItalic">Intoxicación por sal común</span>" 2 => "<span class="elsevierStyleItalic">Niños</span>" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec186494" "palabras" => array:3 [ 0 => "<span class="elsevierStyleItalic">Acute hypernatremia</span>" 1 => "<span class="elsevierStyleItalic">Salt poisoning</span>" 2 => "<span class="elsevierStyleItalic">Children</span>" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">La hipernatremia es una alteración electrolítica común, aunque rara vez se debe a un exceso absoluto de sodio. La hipernatremia grave debida a ingestión de sal común, bien de forma accidental o bien como forma de maltrato infantil, es una entidad infrecuente pero que conlleva una alta mortalidad, así como dificultades para conseguir un tratamiento terapéutico óptimo. A pesar de ser fácilmente reconocible mediante las pruebas de laboratorio, la determinación de su etiología es con frecuencia muy difícil de establecer. Es importante tener presente que, incluso una ingesta sorprendentemente pequeña de sal puede provocar una hipernatremia aguda grave con desenlace fatal.</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Se describen 2 casos de intoxicación salina grave en 2 niñas de 20 y 7 meses de edad, respectivamente, cuya primera manifestación fue hipernatremia grave y convulsiones tras la ingesta accidental de sal común. En el caso 1, la administración inadvertida de sal común, en lugar de azúcar, a dos yogures provocó una hipernatremia aguda y estado convulsivo. En el caso 2, un error en la preparación de la solución de rehidratación oral (agua saturada con sal) originó un cuadro de convulsiones, coagulopatía de consumo y trombosis del seno venoso longitudinal. Ambos casos fallecieron con el diagnóstico de muerte encefálica.</p>" ] "en" => array:1 [ "resumen" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Hypernatremia is a common electrolyte abnormality, but it is rarely attributable to excess sodium. Hypernatremia due to exogenous salt intake, caused either by accidental ingestion or as a form of child abuse, is rare, difficult to manage and results in high mortality. Although hypernatremia is easily recognized by laboratory tests, its etiology is often difficult to determine. A surprisingly small amount of salt intake can result in a fatal outcome.</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">We report two cases of severe salt intoxication in two girls, aged 20 and 7months, who presented with severe hypernatremia. Both had seizures after accidental salt ingestion. In the first case, salt instead of sugar was inadvertently added to two yoghurts, leading to hypernatremia and convulsions. In the second case, a mistake in the preparation of salt-saturated water as an oral rehydration solution provoked seizures, coagulopathy and longitudinal venous sinus thrombosis. Both cases developed encephalic death. 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| año/Mes | Html | Total | |
|---|---|---|---|
| 2024 Noviembre | 6 | 17 | 23 |
| 2024 Octubre | 52 | 78 | 130 |
| 2024 Septiembre | 56 | 109 | 165 |
| 2024 Agosto | 56 | 109 | 165 |
| 2024 Julio | 51 | 78 | 129 |
| 2024 Junio | 60 | 70 | 130 |
| 2024 Mayo | 69 | 90 | 159 |
| 2024 Abril | 47 | 64 | 111 |
| 2024 Marzo | 52 | 56 | 108 |
| 2024 Febrero | 50 | 56 | 106 |
| 2024 Enero | 69 | 43 | 112 |
| 2023 Diciembre | 62 | 40 | 102 |
| 2023 Noviembre | 60 | 59 | 119 |
| 2023 Octubre | 70 | 46 | 116 |
| 2023 Septiembre | 39 | 42 | 81 |
| 2023 Agosto | 54 | 55 | 109 |
| 2023 Julio | 42 | 49 | 91 |
| 2023 Junio | 39 | 43 | 82 |
| 2023 Mayo | 42 | 39 | 81 |
| 2023 Abril | 41 | 25 | 66 |
| 2023 Marzo | 19 | 50 | 69 |
| 2023 Febrero | 15 | 23 | 38 |
| 2023 Enero | 24 | 23 | 47 |
| 2022 Diciembre | 22 | 37 | 59 |
| 2022 Noviembre | 46 | 56 | 102 |
| 2022 Octubre | 37 | 79 | 116 |
| 2022 Septiembre | 18 | 33 | 51 |
| 2022 Agosto | 40 | 54 | 94 |
| 2022 Julio | 20 | 46 | 66 |
| 2022 Junio | 21 | 43 | 64 |
| 2022 Mayo | 31 | 64 | 95 |
| 2022 Abril | 32 | 45 | 77 |
| 2022 Marzo | 47 | 75 | 122 |
| 2022 Febrero | 25 | 48 | 73 |
| 2022 Enero | 31 | 63 | 94 |
| 2021 Diciembre | 42 | 40 | 82 |
| 2021 Noviembre | 30 | 54 | 84 |
| 2021 Octubre | 53 | 73 | 126 |
| 2021 Septiembre | 36 | 66 | 102 |
| 2021 Agosto | 31 | 50 | 81 |
| 2021 Julio | 30 | 51 | 81 |
| 2021 Junio | 30 | 61 | 91 |
| 2021 Mayo | 23 | 68 | 91 |
| 2021 Abril | 55 | 70 | 125 |
| 2021 Marzo | 37 | 51 | 88 |
| 2021 Febrero | 54 | 43 | 97 |
| 2021 Enero | 26 | 43 | 69 |
| 2020 Diciembre | 44 | 39 | 83 |
| 2020 Noviembre | 15 | 23 | 38 |
| 2020 Octubre | 22 | 35 | 57 |
| 2020 Septiembre | 23 | 37 | 60 |
| 2020 Agosto | 48 | 54 | 102 |
| 2020 Julio | 45 | 57 | 102 |
| 2020 Junio | 53 | 40 | 93 |
| 2020 Mayo | 46 | 58 | 104 |
| 2020 Abril | 49 | 72 | 121 |
| 2020 Marzo | 29 | 26 | 55 |
| 2020 Febrero | 29 | 36 | 65 |
| 2020 Enero | 56 | 32 | 88 |
| 2019 Diciembre | 76 | 44 | 120 |
| 2019 Noviembre | 40 | 24 | 64 |
| 2019 Octubre | 47 | 36 | 83 |
| 2019 Septiembre | 56 | 40 | 96 |
| 2019 Agosto | 41 | 30 | 71 |
| 2019 Julio | 70 | 56 | 126 |
| 2019 Junio | 163 | 71 | 234 |
| 2019 Mayo | 129 | 61 | 190 |
| 2019 Abril | 78 | 59 | 137 |
| 2019 Marzo | 19 | 31 | 50 |
| 2019 Febrero | 27 | 19 | 46 |
| 2019 Enero | 18 | 23 | 41 |
| 2018 Diciembre | 21 | 28 | 49 |
| 2018 Noviembre | 25 | 16 | 41 |
| 2018 Octubre | 33 | 16 | 49 |
| 2018 Septiembre | 15 | 7 | 22 |
| 2018 Agosto | 1 | 0 | 1 |
| 2018 Junio | 1 | 0 | 1 |
| 2018 Mayo | 7 | 0 | 7 |
| 2018 Abril | 8 | 0 | 8 |
| 2018 Marzo | 7 | 0 | 7 |
| 2018 Febrero | 11 | 0 | 11 |
| 2018 Enero | 6 | 1 | 7 |
| 2017 Diciembre | 9 | 0 | 9 |
| 2017 Noviembre | 8 | 0 | 8 |
| 2017 Octubre | 8 | 0 | 8 |
| 2017 Septiembre | 18 | 0 | 18 |
| 2017 Agosto | 15 | 0 | 15 |
| 2017 Julio | 15 | 0 | 15 |
| 2017 Junio | 26 | 14 | 40 |
| 2017 Mayo | 15 | 16 | 31 |
| 2017 Abril | 30 | 31 | 61 |
| 2017 Marzo | 21 | 42 | 63 |
| 2017 Febrero | 8 | 6 | 14 |
| 2017 Enero | 11 | 7 | 18 |
| 2016 Diciembre | 19 | 8 | 27 |
| 2016 Noviembre | 37 | 17 | 54 |
| 2016 Octubre | 56 | 18 | 74 |
| 2016 Septiembre | 33 | 45 | 78 |
| 2016 Agosto | 43 | 18 | 61 |
| 2016 Julio | 24 | 14 | 38 |
| 2016 Junio | 2 | 0 | 2 |
| 2016 Mayo | 1 | 0 | 1 |
| 2016 Marzo | 2 | 0 | 2 |
| 2016 Enero | 1 | 0 | 1 |
| 2015 Diciembre | 3 | 0 | 3 |
| 2015 Noviembre | 1 | 0 | 1 |
| 2015 Octubre | 1 | 0 | 1 |
| 2015 Agosto | 2 | 16 | 18 |
| 2015 Julio | 11 | 0 | 11 |
| 2015 Junio | 5 | 0 | 5 |
| 2015 Mayo | 20 | 0 | 20 |
| 2015 Abril | 12 | 15 | 27 |
| 2015 Marzo | 13 | 0 | 13 |
| 2015 Febrero | 6 | 11 | 17 |
| 2015 Enero | 12 | 1 | 13 |
| 2014 Diciembre | 17 | 8 | 25 |
| 2014 Noviembre | 14 | 2 | 16 |
| 2014 Octubre | 11 | 4 | 15 |
| 2014 Septiembre | 14 | 6 | 20 |
| 2014 Agosto | 16 | 2 | 18 |
| 2014 Julio | 22 | 3 | 25 |
| 2014 Junio | 28 | 1 | 29 |
| 2014 Mayo | 37 | 2 | 39 |
| 2014 Abril | 27 | 2 | 29 |
| 2014 Marzo | 32 | 13 | 45 |
| 2014 Febrero | 24 | 19 | 43 |
| 2014 Enero | 25 | 8 | 33 |
| 2013 Diciembre | 25 | 7 | 32 |
| 2013 Noviembre | 15 | 8 | 23 |
| 2013 Octubre | 25 | 8 | 33 |
| 2013 Septiembre | 17 | 13 | 30 |
| 2013 Agosto | 18 | 13 | 31 |
| 2013 Julio | 9 | 4 | 13 |
| 2013 Junio | 7 | 3 | 10 |
| 2013 Mayo | 5 | 2 | 7 |
| 2013 Abril | 14 | 4 | 18 |
| 2013 Marzo | 9 | 7 | 16 |
| 2013 Febrero | 18 | 2 | 20 |
| 2013 Enero | 10 | 5 | 15 |
| 2012 Diciembre | 4 | 1 | 5 |
| 2012 Noviembre | 9 | 1 | 10 |
| 2012 Octubre | 4 | 1 | 5 |
| 2012 Septiembre | 2 | 0 | 2 |
| 2000 Noviembre | 4570 | 0 | 4570 |
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