An intestinal obstruction in an eight-month-old child suffering from mevalonic aciduria
L Nimubona1, D Laloum, M O Rolland
1Department of Neonatology, Caen University Hospital, France. lnimubonafr@yahoo.fr
Insights
Mevalonate kinase deficiency, a rare genetic disorder, can present with varied symptoms, including intestinal issues. This case highlights the importance of considering this condition in infants with unusual neonatal presentations and gastrointestinal problems.
Area of Science:
- Biochemistry
- Genetics
- Pediatrics
Background:
- Mevalonate kinase deficiency (MKD) is an autosomal recessive disorder.
- It is part of the spectrum of mevalonate-associated inflammatory diseases (MAIDs).
- MKD affects isoprenoid biosynthesis, crucial for various cellular functions.
Observation:
- A case of MKD diagnosed in an infant at 1 month of age.
- Neonatal symptoms mimicked congenital infection.
- An intestinal obstruction was observed at 8 months of age.
Findings:
- This report details the first documented instance of bowel obstruction in mevalonate kinase deficiency.
- Clinical and biological manifestations of MKD are highly variable, potentially delaying diagnosis.
- The neonatal presentation can resemble congenital infections.
Implications:
- Early recognition of MKD is crucial for timely intervention and management.
- Awareness of gastrointestinal complications like bowel obstruction is important for clinicians.
- This case expands the known clinical spectrum of mevalonate kinase deficiency.
Unlabelled:
This report describes a case of mevalonate kinase deficiency diagnosed at 1 mo of age. Soon after delivery, symptoms were suggestive of congenital infection. An intestinal occlusion occurred towards the age of 8 mo.
Conclusion:
Mevalonate kinase deficiency has variable clinical and biological signs which can lead to a delay in diagnosis. This is the first reported occurrence of bowel obstruction in this disease and the resemblance to a congenital infection in the neonatal period must be emphasized.
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