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Question |
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I saw a pt. with acidotic breathing,no cough or any resp. complaint,fever+,age 3 mon.On investigating his bl.sugar was 317mg.% urine sugar+++,no ketone bodies.Is there an entity like transient neonatal diabetes mellitus.Pl.tell about course of the illness,management,prognosis and other details. thanks.
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Was the child given a bolus of dextrose? Though one may still suspect Transient neonatal diabetes, other inborn error of metabolism should be kept in mind such as propionic acidemia that can present with hyperglycemia and acidosis with ketacidosis. Also sepsis may lead to hyperglcemia and acidosis due to stress.
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