This Article  • Full text  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citing articles on ISI (1)  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Topic Collections  • Neonatology and Infant Care  • Radiologic Imaging  • Ultrasonography  • Alert me on articles by topic

LT Derek S. Wheeler, MC, USNR
From the Department of Pediatrics, US Naval Hospital, Guam.

Arch Pediatr Adolesc Med. 1999;153:423-424.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

A FULL-TERM, male infant presented at 4 days of life with decreased urine output, fever, and poor feeding. Delivery was complicated by a shoulder dystocia, and the infant had required a brief period of continuous positive airway pressure ventilation for apnea and central cyanosis. The infant was discharged from the hospital at 48 hours of life, following an uneventful postnatal course.

On initial presentation, blood, urine, and cerebrospinal fluid cultures were obtained. A urinalysis revealed microscopic hematuria and proteinuria. Further laboratory evaluation was notable for the following levels: serum sodium,155 mmol/L; serum urea nitrogen, 21.8 mmol/L (7.8 mg/dL); serum creatinine, 424.3 µmol/L (4.8 mg/dL); fractional excretion of sodium, 4.6%; and serum uric acid, 1118.2 mmol/L. Results of a complete blood cell count were normal.

A renal sonogram was obtained (Figure 1). The infant's kidney function normalized (on the third day of hospitalization) . . . [Full Text of this Article]