PEDIATRICS Vol. 72 No. 1 July 1983, pp. 125-127
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Acute Hyponatremia and Seizures in an Infant After a Swimming Lesson

HOWARD J. BENNETT MD1, TEEKIE WAGNER MD, MPH1, and ALAN FIELDS MD2

1 Department of Health Care Sciences, The George Washington University, Medical Center, Washington, DC
2 Children's Hospital National Medical Center, Washington, DC

There have been a number of recent reports describing water intoxication in infants.1-4 In each case, hyponatremia followed an excessive intake of free water, either as the result of feeding mismanagement1-3 or vigorous hydration with water during a febrile illness.4 This report describes an infant who developed hyponatremia and seizures after swallowing an unknown volume of water during a swimming lesson. We will discuss the case and comment on present recommendations for preschool swimming instruction.

CASE REPORT

An 11-month-old girl was in excellent health until the day of admission. During a 60-minute swimming lesson, she was noted to swallow more water than usual, but exhibited no unusual symptomatology while in the pool.

Submitted on August 13, 1982
Accepted on October 7, 1982




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