4th Pediatric Infectious Diseases Conference
 
 
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Metabolic disorders
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Specialist Answers
Question
I saw a patient with acidotic breathing, no cough or any resp. complaint, fever+,age 3 mon. On investigating his blood sugar was 317mg.% urine sugar+++,no ketone bodies. Is there an entity like transient neonatal diabetes mellitus. Please tell about course of the illness, management, prognosis and other details. thanks.
Answer
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 hyperglycemia and acidosis due to stress.
 
 
 
Pedi Poll
Today's Poll
Should teicoplannin, colistin be used in case of neonatal sepsis where culture does not reveal any organism_?
No, it should be used only after drug sensitivity report
Yes, under guidance of an infectious disease expert
Educational Section
 
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