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Severe Failure to Thrive in Infant

Department of Pediatrics, Division of Critical Care, Lincoln Medical and mental health center, Bronx, New York

Dora Alvarez, MD

Department of Pediatrics, Division of Critical Care, Lincoln Medical and mental health center, Bronx, New York

Swati Dave-Sharma, MD

Department of Pediatrics, Division of Endocrinology, Lincoln Medical and mental health center, Bronx, New York

Gerard Prosper, MD

Department of Pediatrics, Division of Nephrology, Lincoln Medical and mental health center, Bronx, New York

Jayendra Sharma, MD, FACC

Department of Pediatrics, Division of Critical Care, Lincoln Medical and mental health center, Bronx, New York, jayswati@ optonline.net

Failure to thrive in an infant has multiple etiologies and at times, is only manifestation of underlying serious disease. Bartter syndrome is a rare disease that manifests as failure to thrive. It can be diagnosed by a careful history, physical examination, and abnormal electrolyte pattern. It can be alleviated by appropriate management, whereas failure to recognize early can be life threatening. A case of severe failure to thrive in an infant due to neonatal form of Bartter syndrome, its manifestations, management, and outcome is presented in this article.

Key Words: Bartter syndrome • failure to thrive • hypokalemia • metabolic alkalosis

This version was published on September 1, 2008

Clinical Pediatrics, Vol. 47, No. 7, 698-700 (2008)
DOI: 10.1177/0009922808318345


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