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.