A rare case of hyperammonaemic encephalopathy.

Abstract

A 75-year-old female patient presented to the accident and emergency department following a collapse. She was treated for a saddle pulmonary embolism and underlying urinary tract infection. However, 48 hours later she was found to have reduced consciousness with no apparent cause (Glasgow Coma Scale of 8 out of 15). Subsequent blood results revealed a highammonia level. After reflection into her medical history, it was found that she had bladder exstrophy, which was managed with urinary diversion surgery as an infant, and her presentation was a rare complication of this operation.

• Authors: Yeu Jye Pang, Stephanie Day, Daniel Sumner, Kenneth Adegoke
• Journal: BMJ case reports (BMJ Case Rep) Vol. 12 Issue 7 (Jul 02 2019) ISSN: 1757-790X [Electronic] England
• PMID: 31270084 (Publication Type: Case Reports, Journal Article)
• Copyright: © BMJ Publishing Group Limited 2019. No commercial re-use. See rights and permissions. Published by BMJ.

Chemical References

• Anti-Bacterial Agents
• Ciprofloxacin

Topics

• Aged
• Anti-Bacterial Agents (therapeutic use)
• Brain Diseases (diagnosis, drug therapy, etiology)
• Ciprofloxacin (therapeutic use)
• Diagnosis, Differential
• Female
• Humans
• Hyperammonemia (complications, diagnosis, drug therapy)
• Tomography, X-Ray Computed (methods)
• Urinary Tract Infections (complications, diagnostic imaging, drug therapy)