Abstract
Isovaleric acidemia (IVA), an inborn error of leucine catabolism resulting in the accumulation of derivatives of isovaleryl-CoA that leads to hyperammonemia and ketoacidosis. IVA is clinically characterized by lethargy, vomiting, and a distinctive smell of “sweaty feet.” We report the case of a 10-day-old male neonate who presented with acute encephalopathy, hyperglycemia, increased anion gap metabolic acidosis, ketosis, and features of sepsis. After the management of acute metabolic decompensation, he was successfully treated with dietary restriction of leucine and L-carnitine supplementation. This case is of interest because of the rarity of presentation, early detection, and prompt implementation of the treatment with satisfactory outcomes.
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
