Transient Pseudohypoaldosteronism in an infant with urinary tract anomaly

Transient pseudohypoaldosteronism (TPHA) due to renal tubular unresponsiveness to aldosterone and manifested by hyperkalemia, hyponatremia, metabolic acidosis and marked increase in plasma aldosterone concentration, has been previously identified in infants with obstructive uropathy and urinary tract infection (UTI). 1,2 TPHA can be cured by treatment for the UTI or surgery. 1 We report a case of TPHA caused by urinary tract infection associated with left vesicoureteral reflux.