Conclusion
This was a rare clinical occurrence that we observed and treated in our practice. It is unknown whether similar occurrences have been taking place in our setting that are going unnoticed and being mismanaged due to its rarity and a delay in establishing diagnoses. Our emphasis is to always maintain a high level of suspicion in similar clinical presentations to ensure NDI does not go unrecognized. We also hope that this will spark further physiological studies to take place regarding electrolyte anomalies inducing NDI.