Pediatric occult methanol intoxication with hyperammonemia

Methanol is metabolized by alcohol and aldehyde dehydrogenases to formic acid, which leads to metabolic acidosis, retinopathy, and damage to optic nerves and basal ganglia. Ammonia accumulation can occur with normal hepatocellular function through over production with gram negative urease-producing...

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Veröffentlicht in:The American journal of emergency medicine 2016-02, Vol.34 (2), p.343.e5-343.e6
Hauptverfasser: Cao, Dazhe, MD, Maddux, Aline B., MD, Mashburn, Danielle, PA-C, Vohwinkel, Christine, MD, PhD, Wang, George S., MD
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container_title The American journal of emergency medicine
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creator Cao, Dazhe, MD
Maddux, Aline B., MD
Mashburn, Danielle, PA-C
Vohwinkel, Christine, MD, PhD
Wang, George S., MD
description Methanol is metabolized by alcohol and aldehyde dehydrogenases to formic acid, which leads to metabolic acidosis, retinopathy, and damage to optic nerves and basal ganglia. Ammonia accumulation can occur with normal hepatocellular function through over production with gram negative urease-producing organism-induced sepsis, multiple myeloma, some chemotherapeutics, post-bone marrow transplantation, ureterosigmoidostomy, and states of increased catabolism [8,9].
doi_str_mv 10.1016/j.ajem.2015.06.031
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subjects Adolescent
Alcohol
Ammonia
Bone marrow
Diagnosis, Differential
Diagnostic Imaging
Edema
Emergency
Emergency medical care
Enzymes
Ethanol
Extracorporeal Membrane Oxygenation
Fatal Outcome
Female
Glasgow Coma Scale
Humans
Hyperammonemia - diagnosis
Hyperammonemia - etiology
Hyperammonemia - therapy
Metabolic disorders
Methanol
Methanol - poisoning
Multiple myeloma
Pediatrics
Renal Replacement Therapy
Suicide
Toxicology
title Pediatric occult methanol intoxication with hyperammonemia
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