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CASE REPORT
Korean J Pediatr 2011 July;54(7) :310-312.
doi:https://doi.org/10.3345/kjp.2011.54.7.310
Idiopathic severe hypermagnesemia in an extremely low birth weight infant on the first day of life
Hye Sun Hyun (Hyun HS), Hyun Sin Choi (Choi HS), Jin Kyu Kim (Kim JK), So Yoon Ahn (Ahn SY), Hey Soo Yoo (Yoo HS), Eun Sun Kim (Kim ES), Yun Sil Chang (Chang YS), Won Soon Park (Park WS)
Department of Pediatrics, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea
Corresponding Author: Won Soon Park ,Tel: +82-2-3410-3523, Fax: +82-2-3410-0043, Email: wonspark@skku.edu
Copyright © 2011 by The Korean Pediatric Society
ABSTRACT
A preterm female infant born at 27 weeks of gestation with a birth weight of 990 g developed acute hypotonia, apnea, hypotension and bradycardia mimicking septic shock syndrome at 14h after birth. Laboratory tests indicated a severe hypermagnesemia of 45 mg/dL. The renal function, complete blood count and maternal blood concentrations of magnesium were normal, and the blood cultures were negative. The patient recovered with treatment including exchange transfusion. However, the etiology of the severe hypermagnesemia remains unknown.
Keywords: Hypermagnesemia | Magnesium | Infant | Prematurity
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