Staghorn lithiasis in an infant related to high-calcium-level mineral water intake

Staghorn lithiases in the infant are rare. We report a staghorn lithiasis r elated to high calcium intake due to the exclusive use of the mineral water Hepar(R). Case report, - In an eight-month-old infant, an abdominal film performed fo r repeated urinary symptoms showed a right-sided staghorn lithiasis. Past h istory revealed that his diet had contained as high as four times the recom mended daily intake for calcium (1,750 mg) related to the exclusive use of Hepar(R) mineral water. The latter had been discontinued one month prior to admission. Excessive doses of vitamin D (1,480 U/day) were given at this t ime. Blood tests were normal. Treatment combined surgical removal of the st one by right pyelolithotomy, and three extracorporeal lithotrity courses. A postoperative infection had a simple course after antibiotics. Conclusion. - This staghorn lithiasis is the second case report of complica tions associated with longterm exclusive intake of Hepar(R) mineral water i n an infant. It has been likely favored by excessive doses of vitamin D. It emphasizes the danger of the exclusive use of high-calcium mineral water. (C) 2000 Editions scientifiques et medicales Elsevier SAS.