History of Previous Treatment and Management:
The patient was treated at PIMS in the NICU for 26 days, followed by an
18-day stay in a private tertiary care hospital. The patient initially
showed signs of jitteriness and fits, indicating neurological
complications. Treatment for meningitis included continued intravenous
antibiotics specifically Tanzo (piperacillin and Tazobactam) and
Amikacin for the first 10 days followed by Meronem (carbapenem) and
Colisitin (Colistimethate) for the next 1 month. Electrolyte replacement
and IV antibiotics were decided via a multidisciplinary approach through
consultations with a pediatric endocrinologist to manage the endocrine
complications of Bartter syndrome. The electrolyte imbalance was
corrected through IV fluids, and medications were gradually shifted to
oral doses. The patient was also transfused with 3 units of RCC due to
consistently decreased Hemoglobin, Red Cell Count, and Hematocrit,
during admission in the private tertiary care hospital. After managing
these challenges, the patient was tolerating 30cc of NG feed and had a
static OFC at discharge. The patient was discharged with instructions
regarding management at home, the oral medication included;
Indomethacin, levetiracetam 30mg/kg/day, Potassium 3mcg/kg/day, Calcium
30mg/kg/day, Mgso4 6mg/kg/day.