A newborn baby presents with shock, hyperkalemia and hypoglycemia. What is the most likely diagnosis
Septicemia
Inborn error of metabolism
Diabetes mellitus
Congenital adrenal hyperplasia
These features of congenital adrenal hyperplasia may due to deficiency of 21-hydroxylase and present with ambiguous genetalia,polyuria,shock,recurrent vomiting and features of sepsis with negative septic screen. Reference : OP Ghai,essential paediatrics,8th edition page no 526
Endocrinology