A patient with propionic acidemia managed with continuous insulin infusion and total parenteral nutrition.

Abstract:

:An infant newly diagnosed with propionic acidemic coma was managed successfully with total parenteral nutrition (TPN) and continuous infusion of insulin. The urinary excretion of 3-hydroxypropionic acid was reduced to 3% of the admission value in 4 days, gradually decreasing to 1.5% in 16 days. The treatment did not prevent a prolonged episode of thrombocytopenia. The infant tolerated TPN well, except for continued hyper-lactic acidemia (2 to 4 times normal). Metabolic acidosis and mild hyperammonemia recurred only when the patient had sepsis secondary to Candida albicans and Staphylococcus aureus infection.

journal_name

J Child Neurol

authors

Kalloghlian A,Gleispach H,Ozand PT

doi

10.1177/08830738920070011411

subject

Has Abstract

pub_date

1992-04-01 00:00:00

pages

S88-91

eissn

0883-0738

issn

1708-8283

journal_volume

7 Suppl

pub_type

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