4th Pediatric Infectious Diseases Conference
 
 
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Specialist Answers
Question
Dear sir, post mature NB delivered normally for a mother had a renal transplant. She is on anti-rejection therapy. The NB developed sever hypoglycemia despite Rx [12.5 percent dextrose+steroid] we have no glucagon. What is the cause & what shall I do to help this patient?
Answer
Was the mother on long term steroids? Steroids are known to increase the blood sugar. IF the mother was on long term steroids, her blood sugar may have been on the higher side during pregnancy and that may have caused neonatal hypoglycemia in the rebound. One can confirm by doing glycosylated hemoglobin in the mother. Also do the baby's critical sample insulin and cortisol with urine ketones. One can give IV hydrocortisone for acute symptoms.
 
 
 
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
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