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Hyperchloraemic acidosis consistent with ammonium chloride administration
  1. A Bajpai,
  2. A Tikaria,
  3. S K Kabra,
  4. L S Arya
  1. All India Institute of Medical Sciences, New Delhi, India;

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    We report an infant with recurrent self limiting hyperchloraemic acidosis. This 1 month old girl was admitted with vomiting, decreased feeding, and rapid breathing. On examination she was lethargic and tachypnoeic with normal blood pressure and peripheral perfusion. Investigations revealed uncompensated metabolic acidosis and uraemia (table 1). She was managed with antibiotics and sodium bicarbonate and showed rapid improvement in acidosis and uraemia in 48 hours. Following discharge she was brought to the …

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