An Intriguing Case of Acute Encephalopathy: Lesson Learned from a Constipated Man

Hyperammonemia is a common cause of encephalopathy encountered in an intensive care unit (ICU). Absence of pre-existing liver disease may misguide a clinician and cases of non-cirrhotic hyperammonemia may be missed in ICU leading to life-threatening outcomes such as cerebral edema and herniation. A...

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Autores principales: Sharma, Munish, Anjum, Humayun, Bulathsinghala, Chinthaka P, De Silva, Palla Rivi, Surani, Salim
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2020
Materias:
Internal Medicine
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7026865/
https://www.ncbi.nlm.nih.gov/pubmed/32104618
http://dx.doi.org/10.7759/cureus.6678
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author Sharma, Munish
Anjum, Humayun
Bulathsinghala, Chinthaka P
De Silva, Palla Rivi
Surani, Salim
author_facet Sharma, Munish
Anjum, Humayun
Bulathsinghala, Chinthaka P
De Silva, Palla Rivi
Surani, Salim
author_sort Sharma, Munish
collection PubMed
description Hyperammonemia is a common cause of encephalopathy encountered in an intensive care unit (ICU). Absence of pre-existing liver disease may misguide a clinician and cases of non-cirrhotic hyperammonemia may be missed in ICU leading to life-threatening outcomes such as cerebral edema and herniation. A critical care physician must look beyond liver cirrhosis as a cause of hyperammonemia so that infrequent but potentially reversible causes of encephalopathy are not missed, and patient treatment is not jeopardized.
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spelling pubmed-70268652020-02-26 An Intriguing Case of Acute Encephalopathy: Lesson Learned from a Constipated Man Sharma, Munish Anjum, Humayun Bulathsinghala, Chinthaka P De Silva, Palla Rivi Surani, Salim Cureus Internal Medicine Hyperammonemia is a common cause of encephalopathy encountered in an intensive care unit (ICU). Absence of pre-existing liver disease may misguide a clinician and cases of non-cirrhotic hyperammonemia may be missed in ICU leading to life-threatening outcomes such as cerebral edema and herniation. A critical care physician must look beyond liver cirrhosis as a cause of hyperammonemia so that infrequent but potentially reversible causes of encephalopathy are not missed, and patient treatment is not jeopardized. Cureus 2020-01-16 /pmc/articles/PMC7026865/ /pubmed/32104618 http://dx.doi.org/10.7759/cureus.6678 Text en Copyright © 2020, Sharma et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Internal Medicine
Sharma, Munish
Anjum, Humayun
Bulathsinghala, Chinthaka P
De Silva, Palla Rivi
Surani, Salim
An Intriguing Case of Acute Encephalopathy: Lesson Learned from a Constipated Man
title An Intriguing Case of Acute Encephalopathy: Lesson Learned from a Constipated Man
title_full An Intriguing Case of Acute Encephalopathy: Lesson Learned from a Constipated Man
title_fullStr An Intriguing Case of Acute Encephalopathy: Lesson Learned from a Constipated Man
title_full_unstemmed An Intriguing Case of Acute Encephalopathy: Lesson Learned from a Constipated Man
title_short An Intriguing Case of Acute Encephalopathy: Lesson Learned from a Constipated Man
title_sort intriguing case of acute encephalopathy: lesson learned from a constipated man
topic Internal Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7026865/
https://www.ncbi.nlm.nih.gov/pubmed/32104618
http://dx.doi.org/10.7759/cureus.6678
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