Survival of a malignant hyperthermia patient

Malignant hyperthermia is an inherited autosomal life threatening skeletal muscle disorder usually triggered by certain general anesthetic drugs like volatile anesthetics and depolarizing muscle relaxants [succinylcholine]. Only early recognition and prompt accurate treatment can save life in an otherwise fatal situation. We present a case of a young boy in whom malignant hyperthermia was recognized within 10 minutes of induction of anesthesia and life was saved by prompt treatment even in the absence of dantrolene

Persistent hyperinsulinemic hypoglycemia of infancy-nesidioblastosis.

Persistent hyperinsulinemic hypoglycemia of infancy [PHHI] or nesidioblastosis is a rare condition presenting with severe hypoglycemia. Prompt diagnosis and early pancreatectomy can save many of them, in spite of the magnitude of surgery. We present two cases in which near total pancreatectomy was performed with favourable outcome. Both patients are normoglycemic, with one requiring pancreatic enzyme supplements