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Hyperammonemic Coma in an Adult due to Ornithine Transcarbamylase Deficiency
Joint Authors
Patel, Bhavesh M.
Johnson, Daniel J.
Roberts, Daniel L.
Ingall, Timothy J.
Galbreath, David A.
Khatib, Amer
Source
Issue
Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2013-02-12
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Objective.
To report an unusual cause of coma in an adult.
Design.
Case report.
Setting.
University teaching hospital.
Patient.
A previously healthy 53-year-old man initially presented with altered mental status and progressed to coma.
He was found to be substantially hyperammonemic and did not improve with lactulose therapy and continuous venovenous hemodialysis.
Results.
Biochemical testing revealed previously undiagnosed ornithine transcarbamylase deficiency, and the patient responded to arginine, sodium phenylacetate, and sodium benzoate.
Conclusion.
Even in adult patients with no known history, inborn errors of metabolism must be considered in the differential diagnosis of unexplained coma.
Defects of the urea cycle can present with an unprovoked hyperammonemic coma.
American Psychological Association (APA)
Roberts, Daniel L.& Galbreath, David A.& Patel, Bhavesh M.& Ingall, Timothy J.& Khatib, Amer& Johnson, Daniel J.. 2013. Hyperammonemic Coma in an Adult due to Ornithine Transcarbamylase Deficiency. Case Reports in Critical Care،Vol. 2013, no. 2013, pp.1-4.
https://search.emarefa.net/detail/BIM-476041
Modern Language Association (MLA)
Roberts, Daniel L.…[et al.]. Hyperammonemic Coma in an Adult due to Ornithine Transcarbamylase Deficiency. Case Reports in Critical Care No. 2013 (2013), pp.1-4.
https://search.emarefa.net/detail/BIM-476041
American Medical Association (AMA)
Roberts, Daniel L.& Galbreath, David A.& Patel, Bhavesh M.& Ingall, Timothy J.& Khatib, Amer& Johnson, Daniel J.. Hyperammonemic Coma in an Adult due to Ornithine Transcarbamylase Deficiency. Case Reports in Critical Care. 2013. Vol. 2013, no. 2013, pp.1-4.
https://search.emarefa.net/detail/BIM-476041
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-476041