Hypoketotic hypoglycemic coma in a 21-month-old child

被引:2
作者
Hostetler, MA [1 ]
Arnold, GL [1 ]
Mooney, R [1 ]
Bennett, MJ [1 ]
Rinaldo, P [1 ]
Roe, CR [1 ]
机构
[1] Univ Rochester, Strong Mem Hosp, Dept Emergency Med, Rochester, NY 14642 USA
关键词
D O I
10.1016/S0196-0644(99)70136-8
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
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.
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收藏
页码:394 / 398
页数:5
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