Abstract:
Background: Bartter syndrome is a rare, inherited disorder affecting the kidneys’ ability to reabsorb electrolytes. This report presents a complex case of a 2-month-old preterm infant with Bartter syndrome, who developed hydrocephalus and ventriculitis secondary to meningitis.
Case Presentation: The patient, born prematurely at 32+4 weeks with a birth weight of 1.7 kg, presented with increased occipitofrontal circumference and signs of increased intracranial pressure, due to obstructive communicating hydrocephalus as seen on MRI. History of previous hospital admissions and subsequent investigations revealed the underlying cause to be unresolved meningitis, which further complicated into ventriculitis. His pre-existing Bartter syndrome posed additional challenges in terms of fluid and electrolyte management during his treatment.
Conclusion: This case underscores the intricate management of a 2-month infant, preterm at birth, developmentally delayed with Bartter syndrome and superimposed neurological complications. It highlights the importance of an interdisciplinary approach, meticulous monitoring, and individualized treatment strategies in ensuring optimal outcomes for such complex patients.