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This report describes an infant with an ileostomy with severe growth failure, hyperkalaemia and metabolic acidosis\u2014all of which promptly resolved with sodium supplementation.<\/jats:p>","DOI":"10.1136\/bcr-2021-241570","type":"journal-article","created":{"date-parts":[[2021,4,9]],"date-time":"2021-04-09T13:31:46Z","timestamp":1617975106000},"page":"e241570","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":5,"title":["Growth failure and metabolic acidosis due to total body sodium depletion in an infant with an ileostomy"],"prefix":"10.1136","volume":"14","author":[{"given":"Christina Marie","family":"Zarraga","sequence":"first","affiliation":[{"name":"Pediatrics, The University of Arizona College of Medicine Tucson, Tucson, Arizona, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen Mark","family":"Borowitz","sequence":"additional","affiliation":[{"name":"Pediatrics, University of Virginia, Charlottesville, Virginia, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2021,3,25]]},"reference":[{"key":"2025082704033668000_14.3.e241570.1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1523-1755.2001.0590051617.x"},{"key":"2025082704033668000_14.3.e241570.2","doi-asserted-by":"publisher","DOI":"10.1136\/adc.59.10.945"},{"key":"2025082704033668000_14.3.e241570.3","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3468(88)80370-1"},{"key":"2025082704033668000_14.3.e241570.4","doi-asserted-by":"publisher","DOI":"10.1007\/BF01213376"},{"key":"2025082704033668000_14.3.e241570.5","doi-asserted-by":"crossref","first-page":"e123","DOI":"10.1097\/MPG.0000000000001294","article-title":"Sodium intake requirements for preterm neonates: review and recommendations","volume":"63","author":"Bischoff","year":"2016","journal-title":"J Pediatr Gastroenterol Nutr"},{"key":"2025082704033668000_14.3.e241570.6","doi-asserted-by":"publisher","DOI":"10.1136\/gut.4.4.322"},{"key":"2025082704033668000_14.3.e241570.7","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3476(83)80175-9"},{"key":"2025082704033668000_14.3.e241570.8","doi-asserted-by":"crossref","first-page":"711","DOI":"10.1016\/S0022-3476(05)83326-8","article-title":"Transient renal acidification defect during acute infantile diarrhea: the role of urinary sodium","volume":"117","author":"Izraeli","year":"1990","journal-title":"J Pediatr"},{"key":"2025082704033668000_14.3.e241570.9","doi-asserted-by":"crossref","first-page":"736","DOI":"10.1016\/j.jpedsurg.2014.02.057","article-title":"Evaluation of sodium deficit in infants undergoing intestinal surgery","volume":"49","author":"Butterworth","year":"2014","journal-title":"J Pediatr Surg"},{"key":"2025082704033668000_14.3.e241570.10","doi-asserted-by":"publisher","DOI":"10.1007\/s00383-014-3619-2"},{"key":"2025082704033668000_14.3.e241570.11","doi-asserted-by":"crossref","DOI":"10.3389\/fimmu.2020.01421","article-title":"The impact of oral sodium chloride supplementation on thrive and the intestinal microbiome in neonates with small bowel Ostomies: a prospective cohort study","volume":"11","author":"Trautmann","year":"2020","journal-title":"Front Immunol"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2021-241570","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T11:03:45Z","timestamp":1756292625000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2021-241570"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,3]]},"references-count":11,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2021,3,25]]},"published-print":{"date-parts":[[2021,3]]}},"alternative-id":["10.1136\/bcr-2021-241570"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2021-241570","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,3]]}}}