Hyperammonemia due to urea cycle disorders: a potentially fatal condition in the intensive care setting

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Hyperammonemia due to urea cycle disorders: a potentially fatal condition in the intensive care setting

Disorders of the urea cycle are secondary to a defect in the system that converts ammonia into urea, resulting in accumulation of ammonia and other products. This results in encephalopathy, coma, and death if not recognized and treated rapidly. Late-onset urea cycle disorders may be precipitated by acute disease and can be difficult to recognize because patients are already ill. Diagnosis of ur...

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Hyperammonemia from a Urea Cycle Disorder Presenting in Adulthood

OBJECTIVE: The aim of this report is to describe a patient with late presentation of carbamyl phosphate synthetase I (CPS-I, EC 6.3.4.16) deficiency, a rare urea cycle deficiency, and to facilitate recognition and treatment of patients presenting with encephalopathy and hyperammonemia in a critical care setting. DESIGN: Case Report. SETTING: Intensive care unit of Saint Mary’s Hospital, Mayo Cl...

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Death due to resistance to enterococci in the intensive care unit: case report

Background & Aim: Hospital infections are one of the major problems in intensive care units and in many cases increases the mortality rate. Case report: A 68-year-old man is being treated after cervical vertebra fracture and fracture and is treated with linezolid following antibiotic resistance. Following the non-observance of the isolated contact points, this resistance was transferred to the ...

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Late-Onset Ornithine Carbamoyltransferase Deficiency Accompanying Acute Pancreatitis and Hyperammonemia

Hyperammonemia related to urea cycle disorders is a rare cause of potentially fatal encephalopathy that is encountered in intensive care units (ICUs). Left undiagnosed, this condition may manifest irreversible neuronal damage. However, timely diagnosis and treatment initiation can be facilitated simply by increased awareness of the ICU staff. Here, we describe a patient with acute severe pancre...

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Urea cycle disorders.

Most patients with urea cycle disorders who present as neonates, do so with deteriorating feeding, drowsiness and tachypnoea, following a short initial period when they appear well. The plasma ammonia should be measured at the same time as the septic screen in such patients. Ammonia levels above 200 micromol/l are usually caused by inherited metabolic diseases and it is essential to make a diag...

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ژورنال

عنوان ژورنال: Journal of Intensive Care

سال: 2014

ISSN: 2052-0492

DOI: 10.1186/2052-0492-2-22