Date of this Version
1-10-2016
Document Type
Article
Abstract
We report a case with spurious hyperchloremia with negative anion gap in a child who was taking potassium bromide for refractory epilepsy. Blood chemistry showed a high chloride level (171?mEq/L) and a negative anion gap (?52?mEq/L). Plasma chloride concentration is measured by an ion-selective electrode method; however the presence of other anions like bromide and iodides can interfere with chloride level and largely overestimates the chloride concentration. Thus hyperchloremia with a negative anion gap is a clue to the diagnosis of halides like bromide and iodide ingestion.
Originally Published In
Case Reports in Critical Care
PMID
26981292
DOI
10.1155/2016/7015463
Recommended Citation
Chegondi, Madhuradhar and Totapally, Balagangadhar R., "Spurious Hyperchloremia and Negative Anion Gap in a Child with Refractory Epilepsy" (2016). All Faculty. 115.
https://digitalcommons.fiu.edu/all_faculty/115
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