Pseudo-hypoaldosteronism secondary to infantile urinary tract infections: role of ultrasound

Pseudo-hypoaldosteronism secondary to infantile urinary tract infections: role of ultrasound

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Abstract Background The biochemical hallmarks of transient pseudo-hypoaldosteronism associated with a pyelonephritis include hyponatremia, hyperkalemia, and acidosis.We tested if the kidney-urinary tract ultrasound helps in predicting the diagnosis of overt pseudo-hypoaldosteronism in infants with a pyelonephritis.Cases Laundry Storage Basket presentation Between 2013 and 2020, we managed 71 previously healthy infants 4 weeks to 24 months of age with a pyelonephritis (42 males and 29 females) and made the biochemical diagnosis of pseudo-hypoaldosteronism in 17 (24%).Infants with and without pseudo-hypoaldosteronism did not significantly differ with respect to the prevalence of kidney-urinary tract ultrasound abnormalities, graded by means of the UTD classification system of urinary tract abnormalities.

Conclusions Kidney-urinary tract ultrasound is almost routinely obtained in children with a febrile urinary tract infection.Our experience does not support the Beaded Headstall and Breast Collar Sets hypothesis that ultrasound might be relevant for the diagnosis of overt transient pseudo-hypoaldosteronism in babies affected by a urinary tract infection.Our data confirm the assumption that negative studies may be important for advancing clinical practice.