Urosepsis with Stress Hyperglycemia: An Interesting Case Report

摘要

Hyperglycemia is relatively common metabolic abnormality in critically ill hospitalized children and it usually occurs as a stress response in children with previously normal glucose homeostasis. This so called stress hyperglycemia occurs primarily due to increased sympathomimetic activity, release of counter regulatory hormones and relative insulin resistance ultimately causing decreased cellular uptake of glucose promoting gluco-neogenesis and glycogenolysis. We hereby present an interesting case report of a 20 month old child presented with urinary tract infection with sepsis and stress hyperglycemia in which hyperglycemia resolved in few days without treatment with insulin.