Ornithine Transcarbamylase Deficiency: Diagnostic and Management Challenges in the ICU

Author:

Watt Philip1,lordache Sabina2,Russell Philip3

Affiliation:

1. Consultant Anaesthetist with interest in ICM, Lead Clinician for ICU, Kettering General Hospital NHS Foundation Trust

2. Specialist Trainee Year 3 Anaesthesia, Central Middlesex Hospital, The North West London Hospitals NHS Trust

3. Core Trainee Year 2 Anaesthetics, Pilgrim Hospital, Boston

Abstract

A young male patient presented with altered sensorium and rapid clinical deterioration following a short period of nonspecific illness and was subsequently diagnosed with ornithine transcarbamylase deficiency (OTCD). We discuss the pathophysiology of OTCD, the difficulties surrounding diagnosis and treatment, and highlight some of the controversies and general management issues of the disease.

Publisher

SAGE Publications

Subject

Critical Care and Intensive Care Medicine,Critical Care Nursing

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