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Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Metab+Brain+Dis 2017 ; 32 (2): 293-296 Nephropedia Template TP
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Successful treatment of a patient with ethylmalonic encephalopathy by intravenous N-acetylcysteine #MMPMID27830356
Kilic M; Dedeoglu O; Gocmen R; Kesici S; Yuksel D
Metab Brain Dis 2017[Apr]; 32 (2): 293-296 PMID27830356show ga
Ethylmalonic encephalopathy (EE) is an autosomal recessive devastating metabolic disorder affecting the brain, gastrointestinal tract, peripheral vessels and rarely the other vascular organs. We report a 10-month-old girl who presented as a meningococcemia clinic but later diagnosed ethylmalonic encephalopathy. Molecular analyses revealed a homozygous c.554 T > G; p. L185R mutation in ETHE1 gene. She was only partially benefited from riboflavine, coenzyme Q10, metronidazole, N-acetylcysteine and symptomatic treatment and discharged from hospital with the sequela of oxygene dependance and developmental delay. We observed N-acetylcysteine 100 mg/kg/day intravenous infusion theraphy may be the most important drug especially in comatous EE patients.