Acute hypoglycemia in children is not an uncommon disease that can be encountered in the Emergency Department. Most cases of childhood hypoglycemia are caused by ketotic hypoglycemia due to missed meals. Often, hypoketotic hypoglycemia can also occur, which suggests hyperinsulinemia or a defect in fatty acid oxidation. Carnitine is essential for long chain fatty acids transfer into mitochondria...

Diabetic patients during hyperglycaemic crises may present a rare syndrome characterised by a typical triad: unilateral involuntary movements (hemichoreahemiballism), radiological contralateral striatal abnormality, and rapid resolution of symptoms after glycae - mic correction. This study reports a series of patients showing less usual aspects and also discusses the pathophysiology of this cli...

Thirty-eight patients who presented with diabetes and a changed state of consciousness satisfied the criteria for lactic acidosis. Sixteen patients were non-ketotic, and 15 of these were receiving phenformin on admission. In all but one of these 15 patients, however, additional renal or cardiovascular abnormalities, or both, could be identified, which supported a multifactorial aetiology for la...

abstract: introduction: neonatal malaria manifests most commonly as fever ,anemia, hepatospleenomegaly, jaundice, loosestools and poor feeding however hyperglycemia and hyperlipedemia associated with malaria is not mentioned in literature. case presenttion : a full term neonate was admitted in december, in n.i.c.u. as fever and anemia with spleenohepatomegaly ,his peripheral smear was positive ...

A 50 year-old male with a history of chronic renal insufficiency and diabetes mellitus type 2 presented with swelling, redness and pain of the left eye for two days. He also started experiencing pain with the eye movement, itching and excessive lacrimation one day after the onset. Four hours prior to admission, he started having undocumented fever, bifrontal headaches, and blurred vision of the...