Text Box: TUBULAR NEPHROPATHY: SCARCITY OF DEATHS IN NEWBORNS? 
Capelli B, Marano, L
BsAs, Argentina

Objective: To transmit a Proximal Tubular Acidosis case with Caritine deficit in a newborn. Precocious diagnostic and treatment made possible his survival. 
Material and Method: Newborn of adequate weight according to gestational age with 9/10 Apgar score and 3250 grs weight. Family antecedents: 25 year- old mother under Tuberculosis treatment. Two newborns alive in 1998 and 1999 who died twenty days after the date of birth diagnosed with persistent Acidosis and non confirmed presumed Sepsis diagnostic. The positive data from the clinical tests were paleness non related with anemia and steady weight curve; the neurology exam: hypotonicity. The laboratory tests revealed a persistent Metabolic Acidosis from the date of birth which required bicarbonate supply until the date of declared cured. Caritine was further supplied as per the results of the neurometabolic exams which showed Caritine deficit. By means of biochemical exams Renal Tubular Acidosis was diagnosed. 
Conclusion: Precocious diagnostic of the disease made possible a good prognosis and the patient¡¯s survival. It further facilitated the identification of the previous newborns´ cause of death.
1979