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.