Hypoketotic hypoglycemic coma in a 21-month-old child.
case_report · Level V
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- Record sourced from PubMed, PMID 10459098.
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Abstract
We present the case of a 21-month-old child with hypoketotic hypoglycemic coma. The differential diagnosis initially included metabolic causes versus a toxicologic emergency (unripe ackee fruit poisoning). Using information obtained from the emergency department, the diagnosis was confirmed as the late-onset form of glutaric acidemia type II. This case illustrates the importance of emergency physicians in the diagnosis and management of children with inborn errors of metabolism.
Medical subject headings
- Acidosis
- Amino Acid Metabolism, Inborn Errors
- Coma
- Fatty Acid Desaturases
- Glutarates
- Hypoglycemia
- Lipid Metabolism, Inborn Errors