Niranjan Nagaraj, M Abhitej Reddy, Pamela Deb Roy and Srujana Swarna
Patients with propionic acidaemia usually present in the neonatal period with life-threatening ketoacidosis, often complicated by hyperammonaemia. The typical presentation includes severe, potentially fatal episodes marked by ketosis and profound metabolic acidosis. Mortality in infancy is high. Here we present a case of severe metabolic acidosis with hyperammonaemia in a male neonate admitted for lethargy, irritability and seizures. Baby was treated with AAMD diet and baby was clinically improved.
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