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Methylmalonic acidemia mimicking diabetic ketoacidosis and septic shock in infants
Authors:Navdeep Saini  Ashwini Malhotra  Sanjay Chhabra  Sunny Chhabra
Affiliation:From: Department of Paediatrics and Paediatric Dermatology, Sigma Hospital Child and Maternity Centre, Jalandhar, Punjab, India
Abstract:Methylmalonic acidemia (MMA) is most common inherited type of organic acidemia. It has diverse presentation in older infants without any initial apparent symptoms. MMA sometimes present with sudden metabolic decompensation, which may mimics common emergencies like septic shock and diabetic ketoacidosis (DKA) without early recognition can be fatal. In born error of metabolism especially organic acidemia should be suspected in any infant presented with severe high anion gap metabolic acidosis. We report two cases of MMA in infants presented acutely mimicking DKA and septic shock.
Keywords:Anion gap   metabolic acidosis   methylmalonic acidemia
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