Metabolic Acidosis Due To Pyroglutamic Acid
نویسندگان
چکیده
منابع مشابه
Metabolic acidosis in late pregnancy due to 5-oxoproline (pyroglutamic acid)—A case report
Introduction: Accumulation of 5-oxoproline (pyroglutamic acid) is a rare cause of severe, high anion gap metabolic acidosis in adults. Case: A 21 year old lady presented at 39 weeks gestation in her first pregnancy with 2 weeks history of shortness of breath. She suffered from ear ache and had been taking Paracetamol on regular basis for a year. She was admitted to having regular alcohol intake...
متن کاملRecurrent high anion gap metabolic acidosis secondary to 5-oxoproline (pyroglutamic acid).
High anion gap metabolic acidosis in adults is a severe metabolic disorder for which the primary organic acid usually is apparent by clinical history and standard laboratory testing. We report a case of recurrent high anion gap metabolic acidosis in a 48-year-old man who initially presented with anorexia and malaise. Physical examination was unrevealing. Arterial pH was 6.98, P co 2 was 5 mm Hg...
متن کاملProfound metabolic acidosis from pyroglutamic acidemia: an underappreciated cause of high anion gap metabolic acidosis.
The workup of the emergency patient with a raised anion gap metabolic acidosis includes assessment of the components of “MUDPILES” (methanol; uremia; diabetic ketoacidosis; paraldehyde; isoniazid, iron or inborn errors of metabolism; lactic acid; ethylene glycol; salicylates). This approach is usually sufficient for the majority of cases in the emergency department; however, there are many othe...
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result7; almost half of our patients acquired their infection in hospital. Previous reports accept that B catarrhalis infection occurs in immune compromised hosts" or in patients with chronic pulmonary disorders,23 but our finding of infection in otherwise healthy non-smoking adults, supported by others,3 suggests that there may be an increase in the number of more virulent strains. Historicall...
متن کاملMalic Acid & Metabolic Acidosis
Label-MMAcid-Rev030410 BACKGROUND Ruminants are animals that have multiple stomachs to allow consumption and digestion of fibrous feedstuffs. Key to this digestive process is the bacterial breakdown of the fiber in the first stomach or rumen. The bacterial balance in the rumen can shift, allowing the ruminant to adapt to different diets. Ruminal bacteria convert fiber into lactate and volatile ...
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ژورنال
عنوان ژورنال: European Journal of Case Reports in Internal Medicine
سال: 2018
ISSN: 2284-2594
DOI: 10.12890/2018_000949