Abstract

Exclusive breastfeeding is a leading cause of hypernatremia and dehydration. We describe successful treatment in a case of extreme breastfeeding hypernatremia in a neonate, presenting with serum sodium up to 232 mmol/L, acute renal failure and a rare complication of sinus vein thrombosis. With careful treatment, there were both clinical and laboratory improvement, with no further short-term complications proving that with attention, even extreme hypernatremia is treatable.

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