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…