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Postgraduate Education Corner: PULMONARY AND CRITICAL CARE PEARLS |

An 18-Year-Old Woman With Hyperammonemia

Sharmila Sehli, MD; Kenneth M. Nugent, MD, FCCP; Christina A. Samathanam, MD, PhD; Raed Alalawi, MD
Author and Funding Information

*From the Departments of Internal Medicine (Drs. Sehli, Nugent, and Alalawi) and Pathology (Dr. Samathanam), Texas Tech University Health Sciences Center, Lubbock, TX.

Correspondence to: Raed Alalawi, MD, Department of Internal Medicine, Texas Tech University Health Sciences Center, 3601 Fourth St, Lubbock, TX 79430; e-mail: raed.alalawi@ttuhsc.edu


The authors have no conflicts of interest to disclose.

Reproduction of this article is prohibited without written permission from the American College of Chest Physicians (www.chestjournal.org/misc/reprints.shtml).


Chest. 2009;135(3):869-871. doi:10.1378/chest.08-1611
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Extract

An 18-year-old woman with no significant medical history was brought to the emergency department (ED) by emergency medical services after she was found unresponsive. She had been at a party 1 day prior to presentation; subsequent to the party, intractable nausea and vomiting developed.

Capistrano-EstradaSMarsdenDLNyhanWLHistopathological findings in a male with late-onset ornithine transcarbamylase deficiencyPediatr Pathol199414235243ClayASHainlineBEHyperammonemia in the ICUChest200713213681378EnnsGMBerrySABerryGTSurvival after treatment with phenylacetate and benzoate for urea-cycle disordersN Engl J Med200735622822292McCulloughBAYudkoffMBatshawMLGenotype spectrum of ornithine transcarbamylase deficiency: correlation with the clinical and biochemical phenotypeAm J Med Genet200093313319NatarajanSKEapenCEPullimoodABOxidative stress in experimental liver microvesicular steatosis: role of mitochondria and peroxisomesJ Gastroenterol Hepatol20062112401249SteinerRDCederbaumSDLaboratory evaluation of urea cycle disordersJ Pediatr2001138S21S29

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