INTRODUCTION: @entity3489 (serum @entity1372 >= 150mmol/L) is one of the most life-threatening complications of childhood @entity294 , and its management remains challenging, even in a highly advanced critical care setting. This case report describes the acute clinical course and 3-month neurological follow-up after discharge of an @entity1 with extreme @entity3489 in an intensive care unit in Dhaka, Bangladesh. CASE PRESENTATION: A 6-month-old Asian Bangladeshi @entity1 of middle-class socioeconomic status was admitted to the intensive care unit of our institution in 2012 with acute watery @entity294 , @entity7621 and @entity3489 (208mmol/L serum @entity1372 ). She had a history of taking excess oral rehydration salt: five packets each, inappropriately prepared, @entity579 -based, properly diluted, @entity413 -based oral rehydration salt. Her @entity3489 was treated exclusively with oral rehydration salt solution. She experienced @entity410 on the third day of her hospitalization and was treated with anticonvulsant drugs. Later in the course of her hospitalization, @entity2259 was detected and successfully treated with @entity2177 . Although magnetic resonance imaging of her brain at discharge showed @entity2657 , brain magnetic resonance imaging appeared normal at a follow-up examination 3 months after discharge. Electroencephalograms taken at discharge and at her 3-month follow-up examination also appeared normal. CONCLUSIONS: Successful management of extreme @entity3489 with only oral rehydration salt did not result in observable neurological consequences, which emphasizes the importance of the use of oral rehydration salt for the clinical management of childhood @entity3489 .

Extreme hypernatremic dehydration due to potential @entity1372 intoxication: consequences and management for an @entity1 with XXXX at an urban intensive care unit in Bangladesh: a case report.

@entity1 :: ('9606', 'Species') :: ['girl', 'infant'] @entity410 :: ('MESH:D012640', 'Disease') :: ['seizures'] @entity2657 :: ('MESH:D001929', 'Disease') :: ['cerebral edema'] @entity294 :: ('MESH:D003967', 'Disease') :: ['diarrhea'] @entity7621 :: ('MESH:D053609', 'Disease') :: ['lethargy'] @entity1372 :: ('MESH:D012964', 'Chemical') :: ['sodium'] @entity2177 :: ('MESH:D002939', 'Chemical') :: ['ciprofloxacin'] @entity413 :: ('MESH:D005947', 'Chemical') :: ['glucose'] @entity579 :: ('4530', 'Species') :: ['rice'] @entity2259 :: ('MESH:D016470', 'Disease') :: ['Enterobacter spp bacteremia'] @entity3489 :: ('MESH:D006955', 'Disease') :: ['Hypernatremia', 'hypernatremia']
@entity294 :: (MESH:D003967,Disease) :: ['diarrhea']
