Raised sugar is due to pancreatic etiology or hepatic etiology secondary to liver cell dysfunction  36 year old male patient, given Rifampicin for suspected leprosy. Developed jaundice after 1.5 months. Polyuria. Increased thirst.

No past h/o diabetes or hypertension  Now increased random blood sugar levels more than 500. Urine sugar 3+ Raised total,direct and indirect bilirubin Pus cells in urine 8-10/hpf No h/o pain in any region of abdomen   Raised Serum transaminases  Ketone present in urine  H/o breathlessness after starting treatment with Rifampicin   ​RFTs are within normal limits  Known case of piles  Pain while defecation after starting rifampicin  No h/o burning micturation  What can be diagnosis  Are  following things possible: Rifampicin may have caused hepatitis, hepatocellular dysfunction and jaundice. Leading to hyperglycemia. Leading to osmotic diuresis of glucose…