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Abstract Three children with severe hyponatraemia and hyperkalaemia associated with acute pyelonephritis are reported. All were very young male infants in a poor general condition and seriously dehydrated. Diagnostic procedures did not detect obstructive uropathy or vesico-ureteric reflux. Conclusion Hyponatraemia and hyperkalaemia occurs in young infants with severe acute pyelone-phritis in the absence...
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