Clinical and Experimental Pediatrics

대한소아청소년과학회 (The Korean Pediatric Society)
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Idiopathic severe hypermagnesemia in an extremely low birth weight infant on the first day of life

  • Hyun, Hye-Sun (Department of Pediatrics, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Choi, Hyun-Sin (Department of Pediatrics, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Kim, Jin-Kyu (Department of Pediatrics, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Ahn, So-Yoon (Department of Pediatrics, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Yoo, Hey-Soo (Department of Pediatrics, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Kim, Eun-Sun (Department of Pediatrics, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Chang, Yun-Sil (Department of Pediatrics, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Park, Won-Soon (Department of Pediatrics, Samsung Medical Center, Sungkyunkwan University School of Medicine)
  • 투고 : 2010.09.07
  • 심사 : 2010.12.28
  • 발행 : 2011.07.15
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초록

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.

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참고문헌

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피인용 문헌

  1. Serum Magnesium Levels in Preterm Infants Are Higher Than Adult Levels: A Systematic Literature Review and Meta-Analysis vol.9, pp.10, 2017, https://doi.org/10.3390/nu9101125
  2. Magnesium sulfate and fetal neuroprotection: overview of clinical evidence vol.13, pp.12, 2011, https://doi.org/10.4103/1673-5374.241441
  3. Neuromuscular Junction Disorders and Floppy Infant Syndrome: A Comprehensive Review vol.12, pp.2, 2011, https://doi.org/10.7759/cureus.6922
  4. Impact of admission serum magnesium levels on long-term mortality in hospitalized patients vol.48, pp.2, 2020, https://doi.org/10.1080/21548331.2020.1724723
  5. Association of serum magnesium level change with in-hospital mortality vol.25, pp.6, 2020, https://doi.org/10.1136/bmjebm-2019-111322
  6. The Role of Magnesium in Pregnancy and in Fetal Programming of Adult Diseases vol.199, pp.10, 2011, https://doi.org/10.1007/s12011-020-02513-0