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  Vol. 141 No. 11, November 1987 TABLE OF CONTENTS
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Antidiuretic hormone excess in infant botulism

G. Kurland and J. Seltzer
Department of Pediatrics, University of California, Davis, School of Medicine.

Two infants developed evidence of antidiuretic hormone excess as a complication of infant botulism. Neither child received mechanical ventilatory support before the development of hyponatremia, serum hyposmolality, and urinary hyperosmolality. Both infants responded to fluid-intake restriction. The appearance of hyponatremia in an infant with botulism should suggest antidiuretic hormone excess. The recognition of this entity will lead to its appropriate management with fluid-intake restriction.

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