Abstract

Neonatal shock is a life-threatening emergency with high mortality. There could be multiple etiologies of neonatal shock. Neonatal hypopituitarism is one of the rare but treatable causes of refractory neonatal shock. Hypoglycemia and dysmorphic features can be clue to endocrinal pathology. With a high index of suspicion and prompt supportive management, it is possible to manage such cases effectively and prevent mortality.

Keywords: Neonatal; Panhypopituitarism; Shock

Abbreviations: MAP: Mean Airway Pressure; FiO2: Fractional Concentration of Inspired Oxygen; GIR: Glucose Infusion Rate; TSH: Thyroid Stimulating Hormone; MRI: Magnetic Resonance Imaging; DASII: Developmental Assessment Scale for Indian Infants; MDI: Mental Development Index; PDI: Psychomotor Development Index