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Journal ListArch Dis Childv.65(11); 1990 NovPMC1792616
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Arch Dis Child. 1990 Nov; 65(11): 1237–1239.
PMCID: PMC1792616

Excessive secretion of antidiuretic hormone in infections with respiratory syncytial virus.

H A van Steensel-Moll, J A Hazelzet, E van der Voort, H J Neijens, and W H Hackeng
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Abstract

The association between infections with respiratory syncytial virus and plasma concentrations of antidiuretic hormone was assessed in 48 patients who had been admitted to hospital. The mean (SEM) concentration of antidiuretic hormone was significantly
raised in patients with bronchiolitis (9.3 (1.4) ng/l) compared with non-pulmonary respiratory syncytial virus infections that cause apnoea or upper respiratory tract symptoms (6.1 (1.7) ng/l). The highest concentrations of antidiuretic hormone were seen
in patients receiving mechanical ventilation (18.0 (6.7) ng/l). There were no differences in mean serum sodium concentrations among the subgroups. Hypertranslucency on chest radiograph or an arterial carbon dioxide tension above 6.67 kPa were associated
with a significantly higher concentration of antidiuretic hormone. Increased or normal maintenance fluid intake in children with pulmonary respiratory syncytial virus infections may cause the same symptoms of fluid overload as the syndrome of
inappropriate secretion of antidiuretic hormone. Patients with pulmonary respiratory syncytial virus infection, hypertranslucency in chest radiograph, hypercapnia, or mechanical ventilation are at risk for raised concentrations of antidiuretic hormone.
Restricted fluid intake and careful monitoring of fluid balance and plasma electrolyte concentrations are therefore necessary in these patients.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

Rivers RP, Forsling ML, Olver RP. Inappropriate secretion of antidiuretic hormone in infants with respiratory infections. Arch Dis Child. 1981 May;56(5):358–363. [PMC free article] [PubMed]
Dreyfuss D, Leviel F, Paillard M, Rahmani J, Coste F. Acute infectious pneumonia is accompanied by a latent vasopressin-dependent impairment of renal water excretion. Am Rev Respir Dis. 1988 Sep;138(3):583–589. [PubMed]
Rao M, Eid N, Herrod L, Parekh A, Steiner P. Antidiuretic hormone response in children with bronchopulmonary dysplasia during episodes of acute respiratory distress. Am J Dis Child. 1986 Aug;140(8):825–828. [PubMed]
Van Steensel-Moll HA, Van der Voort E, Bos AP, Rothbarth PH, Neijens HJ. Respiratory syncytial virus infections in children admitted to the intensive care unit. Pediatrie. 1989;44(7):583–588. [PubMed]
Gozal D, Colin AA, Jaffe M, Hochberg Z. Water, electrolyte, and endocrine homeostasis in infants with bronchiolitis. Pediatr Res. 1990 Feb;27(2):204–209. [PubMed]
van Steensel-Moll HA, Tissing WJ, Offringa M, Hazelzet JA. Mechanical ventilation and respiratory syncytial virus infection. Arch Dis Child. 1990 Mar;65(3):332–332. [PMC free article] [PubMed]
Friedman AL, Segar WE. Antidiuretic hormone excess. J Pediatr. 1979 Apr;94(4):521–526. [PubMed]
Pomarède R, Moriette G, Czernichow P, Relier JP. Etude de la vasopressine plasmatique chez les enfants prématurés soumis à la ventilation artificelle. Arch Fr Pediatr. 1978 Dec;35(10 Suppl):75–83. [PubMed]
Matherne P, Matson J, Marks MI. Pertussis complicated by the syndrome of inappropriate antidiuretic hormone secretion. Pathophysiology and management. Clin Pediatr (Phila) 1986 Jan;25(1):46–48. [PubMed]
Dixon BS, Anderson RJ. Pneumonia and the syndrome of inappropriate antidiuretic hormone secretion: don't pour water on the fire. Am Rev Respir Dis. 1988 Sep;138(3):512–513. [PubMed]
Stalcup SA, Mellins RB. Mechanical forces producing pulmonary edema in acute asthma. N Engl J Med. 1977 Sep 15;297(11):592–596. [PubMed]
Volovitz B, Welliver RC, De Castro G, Krystofik DA, Ogra PL. The release of leukotrienes in the respiratory tract during infection with respiratory syncytial virus: role in obstructive airway disease. Pediatr Res. 1988 Oct;24(4):504–507. [PubMed]
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