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Case Series
Electrolyte imbalance in infants with diarrhea worsened by improper dilution of oral rehydration salt (ORS): Case reports from primary healthcare setting in Rohingya refugee camp
1 International Organization for Migration (IOM), Cox’s Bazar, Bangladesh
2 Université Paris Cité, Paris, Île-de-France, France
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Charls Erik Halder
International Organization for Migration (IOM), Cox’s Bazar,
Bangladesh
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Article ID: 101515Z01CH2025
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How to cite this article
Halder CE, Das NK, Tasnim S, Sayum MA, Hasan MA, Soma ER, Okello JC. Electrolyte imbalance in infants with diarrhea worsened by improper dilution of oral rehydration salt (ORS): Case reports from primary healthcare setting in Rohingya refugee camp. Int J Case Rep Images 2025;16(2):14–19.ABSTRACT
Healthcare workers often miss to properly communicate on the proper way of oral rehydration salt (ORS) preparation, especially, regarding the volume of water to be mixed to get appropriate concentration of solution. Severe complications, like electrolyte imbalance and acute gastrointestinal (GI) bleeding, can happen if prepackaged ORS is dissolved in a smaller amount of water than the recommended amount. We presented here case reports of two infants from the Rohingya refugee camps with the diagnosis of acute watery diarrhea with dehydration and hypernatremia, potentially worsened by excessive salt intake due to inappropriate dilution of ORS.
Keywords: Diarrhea, Electrolyte imbalance, Infant, Oral rehydration therapy, Refugee camps, Rohingya
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Acknowledgments
We sincerely thank all healthcare workers for their successful patient management. We also acknowledge the Migration Health Division (MHD) Research Unit of the International Organization for Migration (IOM) for reviewing the case report.
Author ContributionsCharls Erik Halder - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Niranta Kumar Das - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Sumaya Tasnim - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Md Abu Sayum - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Md Abeed Hasan - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Emmanuel Roba Soma - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
James Charles Okello - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2025 Charls Erik Halder et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
