# An Atypical Presentation of Bartter Syndrome Type 3 With Hypocalciuria and Opisthotonus Posture in a Preterm Infant

**Authors:** Karim Hassan, Imad Afara, Ali Harajli, Jawad Allam, Kaity Saliba, Frederic Harb

PMC · DOI: 10.1002/ccr3.70725 · Clinical Case Reports · 2025-07-31

## TL;DR

A preterm infant showed rare symptoms of Bartter Syndrome Type 3, including low calcium in urine and a specific body posture, emphasizing the need for early diagnosis.

## Contribution

The paper presents a rare case of Bartter Syndrome Type 3 with hypocalciuria and opisthotonus in a preterm infant.

## Key findings

- The infant exhibited hypocalciuria and opisthotonus posture, atypical signs of Bartter Syndrome Type 3.
- Early recognition of these neuromuscular signs is crucial for timely genetic confirmation and management.

## Abstract

This case highlights an unusual presentation of Bartter Syndrome Type 3 marked by hypocalciuria and opisthotonus posture. Recognizing such atypical neuromuscular signs is essential for early diagnosis, genetic confirmation, and targeted management in pediatric patients with electrolyte imbalances.

## Linked entities

- **Diseases:** Bartter Syndrome Type 3 (MONDO:0011822)

## Full-text entities

- **Diseases:** Hypocalciuria (MESH:C564578), Bartter Syndrome Type 3 (MESH:C537653), Opisthotonus Posture (MESH:D054972)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Full text

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## Figures

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## References

19 references — full list in the complete paper: https://tomesphere.com/paper/PMC12313829/full.md

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Source: https://tomesphere.com/paper/PMC12313829