Hyperammonemia following allogeneic bone marrow transplantation

Hyperammonemia is a rare and serious complication of intensive cytotoxic chemotherapy. We report the case of a patient who developed profound idiopathic hyperammonemia following bone marrow transplantation for chronic myelogenous leukemia. Despite rapid institution of hemodialysis, sodium benzoate,...

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Veröffentlicht in:American journal of hematology 1991-10, Vol.38 (2), p.140-141
Hauptverfasser: Tse, Nielson, Cederbaum, Stephen, Glaspy, John A.
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container_issue 2
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container_title American journal of hematology
container_volume 38
creator Tse, Nielson
Cederbaum, Stephen
Glaspy, John A.
description Hyperammonemia is a rare and serious complication of intensive cytotoxic chemotherapy. We report the case of a patient who developed profound idiopathic hyperammonemia following bone marrow transplantation for chronic myelogenous leukemia. Despite rapid institution of hemodialysis, sodium benzoate, and the experimental agent sodium phenylacetate, the patient ultimately succumbed to complications of this metabolic derangement. The literature is reviewed, and recommendations for an approach to this complication of marrow transplantation are proposed.
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We report the case of a patient who developed profound idiopathic hyperammonemia following bone marrow transplantation for chronic myelogenous leukemia. Despite rapid institution of hemodialysis, sodium benzoate, and the experimental agent sodium phenylacetate, the patient ultimately succumbed to complications of this metabolic derangement. The literature is reviewed, and recommendations for an approach to this complication of marrow transplantation are proposed.</description><subject>Ammonia - blood</subject><subject>Anesthesia. Intensive care medicine. Transfusions. 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subjects Ammonia - blood
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Biological and medical sciences
Bone Marrow Transplantation - adverse effects
chronic myelogenous leukemia
cytotoxic chemotherapy
Female
Humans
hyperammonemia
Intensive care medicine
Medical sciences
Metabolic Diseases - surgery
Middle Aged
Renal Dialysis
Transplantation, Homologous
title Hyperammonemia following allogeneic bone marrow transplantation
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