Abstract
This case report presents an adult patient with decreased levels of consciousness and bizarre behavior. A silent delirium was first suspected however, symptoms did not improve and further examination revealed elevated ammonia levels. A hepatic cause and portosystemic shunting were excluded and eventually a diagnosis of ornithine transcarbamylase deficiency was made. After treatment with high carbohydrate intake, a low protein diet and supplementation with arginine and sodium benzoate, the patient recovered.
Original language | English |
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Pages (from-to) | 25-28 |
Number of pages | 4 |
Journal | Netherlands journal of medicine |
Volume | 77 |
Issue number | 1 |
Publication status | Published - Jan 2019 |
Keywords
- Consciousness Disorders/diagnosis
- Dietary Carbohydrates/administration & dosage
- Female
- Humans
- Hyperammonemia/diagnosis
- Middle Aged
- Ornithine Carbamoyltransferase Deficiency Disease/complications