Lookup NU author(s): Professor John Sayer,
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Hyperammonaemia is commonly associated with encephalopathy secondary to hepatic dysfunction, but may also be secondary to cases of inherited metabolic defects of urea synthesis. Additional causes of hyperammonaemia are exceptionally rare, but do occur in the context of urinary tract abnormalities and urinary infections with urease-positive bacteria. We describe a case of severe hyperammonaemia leading to coma following a urinary leak post-renal transplantation, where liver function tests were entirely normal.
Author(s): Sayer JA, Bhatti AA, Jaques B, Nesbitt I
Publication type: Article
Publication status: Published
Journal: Clinical Intensive Care
ISSN (print): 0956-3075
Publisher: Informa Healthcare
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