Psychological Stress Triggers a Hyperammonemia Episode in Patient with Ornithine Transcarbamylase Deficiency
Abstract
:1. Introduction
2. Case Description
3. Discussion
4. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Results | Reference Values | |
---|---|---|
Hematology | ||
Red blood cells (×106/µL) | 4.92 | 4.30–5.75 |
Hemoglobin (g/dL) | 13.8 | 13.5–17.2 |
Hematocrit (%) | 42.9 | 39.5–50.5 |
Mean corpuscular volume (fL) | 87.2 | 80.0–101.0 |
Mean corpuscular hemoglobin (pg) | 28.0 | 27.0–34.00 |
Mean corpuscular hemoglobin concentration (g/dL) | 32.2 | 31.5–36.0 |
Red blood cell scattering (%) | 12.8 | 11.6–14.5 |
Erythroblasts (×103/µL) | 0 | 0–4 |
Leukocytes (×103/µL) | 6.39 | 4.00–11.00 |
Neutrophils (%) | 52.80 | 42.00–77.00 |
Lymphocytes (%) | 39.10 | 20.00–44.00 |
Monocytes (%) | 7.00 | 2.00–10.00 |
Eosinophils (%) | 0.50 | 0.50–5.50 |
Basophils (%) | 0.60 | 0.50–1.00 |
Neutrophils (×103/µL) | 3.37 | 1.50–7.70 |
Lymphocytes (×103/µL) | 2.50 | 0.90–5.00 |
Monocytes (×103/µL) | 0.45 | 0.10–0.90 |
Eosinophils (×103/µL) | 0.03 | 0.02–0.55 |
Basophils (×103/µL) | 0.04 | 0.00–0.20 |
Platelets (×103/µL) | 175 | 130–400 |
Mean platelet volume (fL) | 11.8 | 5.9–15.0 |
Biochemistry | ||
Glucose (mg/dL) | 110 * | 70–105 |
Creatinine (mg/dL) | 0.90 | 0.72–1.25 |
Gamma glutamyl transferase (U/L) | 11 | 2–42 |
Lactate dehydrogenase (U/L) | 220 | 125–220 |
Sodium (mEq/L) | 144 | 136–145 |
Potassium (mEq/L) | 3.8 | 3.5–5.1 |
Ammonium (µg/dL) | 307 * | 31–123 |
C-reactive protein (mg/dL) | <0.4 | 0.0–5.0 |
Gasometry | ||
Ionic calcium (mg/dL) | 4.64 | 4.60–5.10 |
pH | 7.45 * | 7.32–7.43 |
Partial pressure of CO2 (mmHg) | 43.0 | 41.0–54.0 |
Partial pressure of O2 (mmHg) | 85.0 * | 35.0–44.0 |
O2 saturation (%) | 96.6 * | 65.0–78.0 |
Total content of CO2 (mmol/L) | 31.2 * | 22.0–26.0 |
Current bicarbonate (mmol/L) | 29.9 * | 24.0–28.0 |
Standard bicarbonate (mmol/L) | 28.9 * | 21.8–26.2 |
Excess bases in blood (mmol/L) | 5.2 * | −2.0–3.0 |
Oxyhemoglobin (%) | 95.9 * | 40.0–70.0 |
Deoxyhemoglobin (%) | 3.4 * | 25.0–55.0 |
Carboxyhemoglobin (%) | 0.6 | 0.5–1.5 |
Methemoglobin (%) | 0.1 * | 0.4–1.5 |
Urine analysis | ||
Urine specific gravity | 1.025 | 1.005–1.025 |
Creatinine (mg/dL) | 7.5 | 5–8 |
Proteins (mg/dL) | 20 * | 0–14 |
Glucose (mmol/L) | 0.00 | 0.00–0.08 |
Bilirubin (mg/dL) | 0.00 | 0.00–1.20 |
Urobilinogen (mg/dL) | 3.00 * | 0.00–1.00 |
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Fernández-Elías, V.E.; Tornero-Aguilera, J.F.; Parraca, J.A.; Clemente-Suárez, V.J. Psychological Stress Triggers a Hyperammonemia Episode in Patient with Ornithine Transcarbamylase Deficiency. Int. J. Environ. Res. Public Health 2022, 19, 11516. https://doi.org/10.3390/ijerph191811516
Fernández-Elías VE, Tornero-Aguilera JF, Parraca JA, Clemente-Suárez VJ. Psychological Stress Triggers a Hyperammonemia Episode in Patient with Ornithine Transcarbamylase Deficiency. International Journal of Environmental Research and Public Health. 2022; 19(18):11516. https://doi.org/10.3390/ijerph191811516
Chicago/Turabian StyleFernández-Elías, Valentín Emilio, José Francisco Tornero-Aguilera, Jose Alberto Parraca, and Vicente Javier Clemente-Suárez. 2022. "Psychological Stress Triggers a Hyperammonemia Episode in Patient with Ornithine Transcarbamylase Deficiency" International Journal of Environmental Research and Public Health 19, no. 18: 11516. https://doi.org/10.3390/ijerph191811516