Daughter of Mr. Natwar Lal named “X”, 16 years old child came to AIIMS OPD Jodhpur with complaints of increasing oedema, increasing BP, uncontrolled sugar and fever and dry cough since 3 days. She was diagnosed with IDDM, Solitary kidney, Diabetic nephropathy, Hypertension grade II and Hypothyroidism and was sent home with prescription. But 2 months later the child came with fresh complaints: which were ear pain, ear discharge for 10 days, swelling over right side of face for 4 days, pain over right shoulder for 4 days, unable to take orally for 3­4 days, and fever. She was additionally diagnosed with ASOM with complications. She has undergone mastoidectomy. Her solitary kidney and IDDM made her to develop super added infections. That led to multiple organ failure like chronic renal failure, respiratory failure, cerebral atrophy and liver dysfunction. She lost her consciousness due to brain involvement and respiratory involvement. The prognosis seems to be poor as multiple organs have got damaged, even though the child is provided with meticulous treatment in PICU. 

Keywords: IDDM; Solitary Kidney; Diabetic Nephropathy; Hypertension Grade II; Hypothyroidism; Acute Suppurative Otitis Media; Periorbital Cellulitis; Vocal Cord Palsy; Pneumonia; Pleural Effusion; and Respiratory Failure.