Unusual Case of Acute Decompensated Maple Syrup Urine Disease in the Emergency Department.
| Autor: | Tobin MR; Department of Emergency Medicine, Resident Physician, Madigan Army Medical Center, Joint Base Lewis-McChord, WA, 98431, USA., Grisham J; Dept. of Emergency Medicine, Staff Physician, Madigan Army Medical Center, Joint Base Lewis-McChord, WA, USA., Brigg A; Dept. of Emergency Medicine, Staff Physician, Madigan Army Medical Center, Joint Base Lewis-McChord, WA, USA., Kinder B; Dept. of Emergency Medicine, Staff Physician, Madigan Army Medical Center, Joint Base Lewis-McChord, WA, USA. |
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| Jazyk: | angličtina |
| Zdroj: | Military medicine [Mil Med] 2021 Aug 28; Vol. 186 (9-10), pp. e1037-e1039. |
| DOI: | 10.1093/milmed/usaa402 |
| Abstrakt: | A case report of an army soldier presenting to the emergency department with acute metabolic derangement resulting in encephalopathy, cerebral edema, and death is presented. The patient had no medical diagnoses before entering military service and was triaged in the emergency department with the common complaint of presyncope. However, as encephalopathy worsened, the patient experienced altered mental status, lethargy, emesis, and seizure. This patient ultimately died because of rapid decompensation. Maple syrup urine disease pathophysiology and treatment recommendations are reviewed. (Published by Oxford University Press on behalf of the Association of Military Surgeons of the United States 2020. This work is written by (a) US Government employee(s) and is in the public domain in the US.) |
| Databáze: | MEDLINE |
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