KULDEEP KUMAR : Ashok Kumar Mandal, a 41-year-old teacher in a village in Jharkhand, did not know what misfortune was in store for him when he started having fever around January 2017. He had urinary complaints as well and got initial treatment at Jharkhand and then at a Kolkata hospital, where he underwent a urological intervention. Further investigations in Kolkata revealed that he had a left Parathyroid adenoma (parathyroid tumour) which was secreting parathyroid hormone, in turn increasing his calcium levels in blood to alarming levels. This led to multiple huge stones in both kidneys and severe urinary tract infection (UTI). He was referred to Chandigarh for further management and he got admitted to Fortis Hospital, Mohali under Dr Vishal Bhambri, Senior Consultant, Internal Medicine, on February 22.Mr Mandal’s fever refused to come down and he was diagnosed with XDR (Extremely drug resistant) bacterial infection (Klebsiella) in urine. He was given a combination of strong antibiotics for his severe infection and his fever resolved. The patient was also taken up for urology intervention (Bilateral PCN) by Dr. PriyadarshiRanjan (Senior Urologist & Renal Transplant Surgeon, Fortis Hospital, Mohali) on March 3. The infection level in his kidneys was so high that it was felt by the Urologist to wait for it to settle down before undertaking a definitive stone surgery. So he was discharged from hospital on March 10. He was admitted for the second time on March 25 and Dr. Ranjan undertook a major urological procedure to open up his urinary system. His infection level was so high that he went into septic shock with multi-organ failure after this surgery and his condition deteriorated ever further. He developed deep jaundice and was on multiple medicines to maintain B.P. at one time along with being on ventilator. “Good ICU support, teamwork & prayers brought him back from the brink of death to life,” said DrBhambri.
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