A neonate (age-14 days, sex-female) was presented to the ED (Emergency Department) in hypovolemic shock. She was the second child of consanguineous (blood-related) parents and had a weight of 2.9 kg at the time of birth. There was a family history of sudden infant death in the case of this patient.
A female sibling died at 3 months of age after being diagnosed with Congenital adrenal hyperplasia (CAH) and receiving proper glucocorticoid and mineralocorticoid replacement. The neonate had cardiac arrest in the ED while receiving fluid boluses; the cardiac monitor displayed peaked T waves and wide QRS complex, pointing hyperkalemia. Cardiopulmonary resuscitation was initiated, intubation was carried out, and the patient was instantly started on hyperkalemia management, including intravenous calcium gluconate, nebulized salbutamol, insulin, and glucose infusion, intravenous sodium…
