Introduction to Refractory Hypoglycaemia
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We present a case of a 62-year-old male, with refractory hypoglycaemia initially presenting with hypoglycaemic seizure during an admission for acute psychosis.
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We describe a case of symptomatic, refractory hypoglycaemia secondary to TMP–SMX in a patient being treated for Stenotrophomonas maltophilia bacteraemia, which required treatment with 10 hours of intravenous dextrose (including several 50% dextrose boluses), as well as intramuscular glucagon and octreotide.
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Discussion Expression of big IGF-II on the surface of GIST be it metastatic or nonmetastatic can cause refractory hypoglycaemia and can be fatal if left untreated.
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We report on a case of a 51-year-old man with metastatic haemangiopericytoma presenting with refractory hypoglycaemia, requiring continuous dextrose 10% infusion while in hospital.
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Peripheral glucose measurements showed that refractory hypoglycaemia was unresponsive to any glucose infusions.
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This is the first case report of refractory hypoglycaemia in congenital dengue.
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The authors have described beneficial therapeutic effects of everolimus in a patient with refractory hypoglycaemia caused by a metastatic insulinoma.
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Neonate had repeated episodes of apnoea and refractory hypoglycaemia and thus shifted to NICU.
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