A unique presentation of hyponatremia and seizures in a 2-month-old child with cystic fibrosis: a case report.

Cystic fibrosis is an autosomal recessive disorder that causes a broad range of clinical findings and can present unusually as electrolyte disturbance, such as hyponatremia that causes seizures in children. Case presentation: We report a case of a 2-month-old infant who presented with an episode of grand mal seizure induced by hyponatremia and moderate episodes of milky vomiting after breastfeeding. Clinical discussion: Proper investigations showed normal cardiac and renal functions. Ultrasonography showed no pathological changes. Laboratory tests performed showed hyponatremia, mild hypokalemia, and hypochloremia. Urinary electrolyte results were normal. While broadening the scope of differential diagnosis in order to reach a final diagnosis, the sweat chloride level was elevated, which confirmed the diagnosis of cystic fibroses. Conclusion: We aim to share our case to keep cystic fibroses in mind as a differential diagnosis when dealing with hyponatremic seizures in children.

Energy Barriers for Steroid Hormone Transport in Nanofiltration.

Nanofiltration (NF) membranes can retain micropollutants (MPs) to a large extent, even though adsorption into the membrane and gradual permeation result in breakthrough and incomplete removal. The permeation of MPs is investigated by examining the energy barriers (determined using the Arrhenius concept) for adsorption, intrapore diffusion, and permeation encountered by four different steroid hormones in tight and loose NF membranes. Results show that the energy barriers for steroid hormone transport in tight membrane are entropically dominated and underestimated because of the high steric exclusion at the pore entrance. In contrast, the loose NF membrane enables steroid hormones partitioning at the pore entrance, with a permeation energy barrier (from feed toward the permeate side) ranging between 96 and 116 kJ/mol. The contribution of adsorption and intrapore diffusion to the energy barrier for steroid hormone permeation reveals a significant role of intrapore diffusive transport on the obtained permeation energy barrier. Overall, the breakthrough phenomenon observed during the NF of MPs is facilitated by the low energy barrier for adsorption. Experimental evidence of such principles is relevant for understanding mechanisms and ultimately improving the selectivity of NF.