{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,1,13]],"date-time":"2024-01-13T00:24:18Z","timestamp":1705105458015},"reference-count":15,"publisher":"Oxford University Press (OUP)","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BJR|case reports"],"published-print":{"date-parts":[[2021,9]]},"abstract":"<jats:p> We present a 1-year-old boy who presented to the emergency department with a 7-day history of diarrhoea and vomiting. The initial renal function profile demonstrated a urea of 55\u2009mmol\u2009l<jats:sup>\u22121<\/jats:sup> (normal range between 5 and 20\u2009mmol\u2009l<jats:sup>\u22121<\/jats:sup>), creatinine 695 micromol\/L (normal range between 62\u2013106 micromol\/L) and potassium 9.1\u2009mmol\u2009l<jats:sup>\u22121<\/jats:sup> (normal range between 3.5\u20135.0\u2009mmol\u2009l<jats:sup>\u22121<\/jats:sup>), with a profound metabolic acidosis. Upon examination, there were no significant findings, specifically no neurological abnormality. <\/jats:p><jats:p> He was prescribed back-to-back Salbutamol nebulisers, to increase the shift of extracellular potassium into the intracellular space, followed by i.v. calcium gluconate, with some improvement in potassium levels. A further 5\u2009mmol of sodium bicarbonate was given, as well as a stat dose of 1\u2009mg\/kg furosemide, and per rectal calcium resonium. He was then commenced on an infusion with 10% dextrose with insulin. <\/jats:p><jats:p> He was subsequently found to be in urinary retention and a catheter was inserted, which drained 1700\u2009ml. <\/jats:p><jats:p> A subsequent renal function profile, 24\u2009hours after admission, demonstrated improvement with urea 39\u2009mmol\u2009l<jats:sup>\u22121<\/jats:sup>, creatinine 300 micromol\/L and potassium 3.0 mEq\/L. <\/jats:p>","DOI":"10.1259\/bjrcr.20210057","type":"journal-article","created":{"date-parts":[[2021,5,14]],"date-time":"2021-05-14T19:18:10Z","timestamp":1621019890000},"page":"20210057","source":"Crossref","is-referenced-by-count":0,"title":["Case report: MRI findings of acute uremic encephalopathy in a 1-year-old boy"],"prefix":"10.1093","volume":"7","author":[{"given":"Amar Ajay","family":"Chotai","sequence":"first","affiliation":[{"name":"Department of Neuroradiology, Royal Victoria Infirmary, Newcastle-upon-Tyne, United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dipayan","family":"Mitra","sequence":"additional","affiliation":[{"name":"Department of Neuroradiology, Royal Victoria Infirmary, Newcastle-upon-Tyne, United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","reference":[{"key":"b1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1523-1755.2003.00924.x"},{"key":"b2","doi-asserted-by":"publisher","DOI":"10.3174\/ajnr.A4776"},{"key":"b3","doi-asserted-by":"publisher","DOI":"10.1186\/s12883-017-0936-9"},{"key":"b4","doi-asserted-by":"publisher","DOI":"10.1016\/j.clineuro.2012.07.013"},{"key":"b5","doi-asserted-by":"publisher","DOI":"10.1148\/radiographics.13.2.8460220"},{"key":"b6","doi-asserted-by":"publisher","DOI":"10.3348\/kjr.2012.13.6.808"},{"key":"b7","doi-asserted-by":"publisher","DOI":"10.1186\/s12882-018-1174-0"},{"key":"b8","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejrad.2012.12.006"},{"key":"b9","first-page":"959","volume":"13","author":"Barkovich AJ","year":"1992","journal-title":"AJNR Am J Neuroradiol"},{"key":"b10","first-page":"739","volume":"6","author":"Miura T","year":"1985","journal-title":"AJNR Am J Neuroradiol"},{"key":"b11","doi-asserted-by":"publisher","DOI":"10.1148\/radiographics.13.2.8460220"},{"key":"b12","first-page":"163","volume":"14","author":"Ho VB","year":"1993","journal-title":"AJNR Am J Neuroradiol"},{"key":"b13","doi-asserted-by":"publisher","DOI":"10.1002\/pbc.25556"},{"key":"b14","author":"O\u2019Brien WT","year":"2015","journal-title":"Journal of American Osteopathic College of Radiology"},{"key":"b15","first-page":"431","volume":"16","author":"Milburn JM","year":"2016","journal-title":"Ochsner J"}],"container-title":["BJR|case reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.birpublications.org\/doi\/pdf\/10.1259\/bjrcr.20210057","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,1,12]],"date-time":"2024-01-12T15:50:46Z","timestamp":1705074646000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/bjrcr\/article\/7241939"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,9]]},"references-count":15,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2021,9]]}},"alternative-id":["10.1259\/bjrcr.20210057"],"URL":"https:\/\/doi.org\/10.1259\/bjrcr.20210057","relation":{},"ISSN":["2055-7159"],"issn-type":[{"value":"2055-7159","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,9]]}}}