RESUMO
Hypertriglyceridemia is a rare but significant cause of pancreatitis in children. Hypertriglyceridemic pancreatitis is often correlated with more severity and complications like pancreatic necrosis. Therefore, proper management and prevention of further episodes is essential. The authors report a case of a child with hypertriglyceridemic pancreatitis who was managed with intravenous insulin. According to various case reports and case series, intravenous insulin has been found to be effective in hypertriglyceridemic pancreatitis in adults. Few case reports in children also have mentioned use of intravenous insulin in diabetic ketoacidosis with hypertriglyceridemia. The authors found intravenous insulin to be highly effective in management of pancreatitis due to severe hypertriglyceridemia in the present child.
Assuntos
Cetoacidose Diabética , Hipertrigliceridemia , Pancreatite , Criança , Humanos , Doença Aguda , Administração Intravenosa , Cetoacidose Diabética/complicações , Cetoacidose Diabética/tratamento farmacológico , Hipertrigliceridemia/complicações , Hipertrigliceridemia/tratamento farmacológico , Insulina/uso terapêutico , Pancreatite/complicações , Pancreatite/tratamento farmacológicoRESUMO
Tubercular brain abscesses are rare manifestations in children, and very few cases have been reported till date. It is characterized by an encapsulated collection of pus, containing viable tubercular bacilli. Antitubercular treatment (ATT) is the mainstay of treatment along with surgical drainage or aspiration or excision of the abscess. We hereby report a case of a 15-month-old child with multiple tubercular brain abscesses with obstructive hydrocephalus, managed with ATT and ventriculoperitoneal shunt.
RESUMO
OBJECTIVES: To ascertain and analyze the indications for transfusion of blood components in obstetric practice at our center. MATERIALS AND METHODS: A prospective observational study was conducted to analyze the various indications for transfusion of blood components in a tertiary care hospital. RESULTS: 1.3% of all obstetric patients from our center had blood components transfusion during the study period. Postpartum hemorrhage, placental causes and anemia are the commonest causes for need of transfusion in obstetric practice.
