The Atkins Diet as a possible trigger for an ICU admission: a case report

J F Fraser1, P Long Den

  • 1Intensive Care Unit, St Andrew's Hospital, Toowoomba, Queensland. j.Fraser@uq.edu.au

Insights

Hereditary coproporphyria, a rare acute porphyria, can present with seizures and neurological symptoms. Early diagnosis and specific therapies are crucial for managing this condition and improving patient outcomes.

Area of Science:

  • Biochemistry
  • Genetics
  • Neurology

Background:

  • Acute porphyrias are rare genetic disorders affecting heme biosynthesis.
  • These conditions can lead to severe neurological and abdominal symptoms.

Purpose of the Study:

  • To describe the initial presentation and diagnosis of hereditary coproporphyria.
  • To highlight the importance of timely diagnosis and management of acute porphyrias.

Main Methods:

  • Case report detailing a patient's admission for abdominal pain.
  • Clinical observation of seizure progression, motor neuropathy, and visual hallucinations.
  • Diagnostic investigations to confirm hereditary coproporphyria.

Main Results:

  • The patient presented with seizures and worsening neurological deficits.
  • Definitive investigations led to the diagnosis of hereditary coproporphyria.
  • Specific therapies were initiated to manage the acute crisis.

Conclusions:

  • Hereditary coproporphyria requires prompt recognition and intervention.
  • Appropriate supportive and specific therapies can reduce morbidity and mortality associated with acute porphyrias.

Related Concept Videos

Cardiac Catheterization I: Pre-Procedure Overview01:28

Cardiac Catheterization I: Pre-Procedure Overview

Cardiac catheterization is an invasive diagnostic technique used to identify and evaluate structural and functional diseases of the heart and major blood vessels. This technique diagnoses congenital heart disease, coronary artery disease, valvular heart disease, and coronary spasms and assesses ventricular function. It helps guide treatment decisions, including the need for revascularization procedures like percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) and...
Acute Kidney Injury V: Interprofessional Care01:20

Acute Kidney Injury V: Interprofessional Care

Acute Kidney Injury (AKI) requires a collaborative healthcare approach to restore renal function and prevent complications. Essential management strategies involve monitoring fluid and electrolyte balance, adjusting medications, initiating dialysis when necessary, and providing nutritional support.Fluid and Electrolyte ManagementFluid Monitoring: Regularly monitoring body weight, central venous pressure, and urine output helps detect fluid imbalances early. Patient intake and output are...
Diabetic Ketoacidosis l: Introduction01:25

Diabetic Ketoacidosis l: Introduction

DefinitionDiabetic ketoacidosis (DKA) is an acute, life-threatening complication of diabetes mellitus, characterized by a triad of hyperglycemia (blood glucose >250 mg/dL), ketonemia or ketonuria, and metabolic acidosis (arterial pH <7.30 and serum bicarbonate <18 mEq/L). It results from insulin deficiency combined with elevated levels of counterregulatory hormones—glucagon, catecholamines, cortisol, and growth hormone—leading to increased lipolysis, hepatic ketone production, and...
Diabetic Ketoacidosis ll: Pathophysiology01:22

Diabetic Ketoacidosis ll: Pathophysiology

Diabetic ketoacidosis (DKA) is a metabolic emergency characterized by hyperglycemia, ketonemia, and metabolic acidosis. It results from severe insulin deficiency and an excess of counterregulatory hormones, leading to uncontrolled lipolysis, ketogenesis, and widespread electrolyte and fluid disturbances.Pathophysiology The central event in DKA is a profound loss of insulin action. Without insulin, glucose uptake in insulin-dependent tissues is impaired, while hepatic glucose production...
SBAR II: Application of SBAR01:14

SBAR II: Application of SBAR

SBAR is an effective communication tool used by healthcare professionals to communicate patient information accurately. SBAR stands for Situation, Background, Assessment, and Recommendation. For a better understanding, an example is given below.
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
Chronic Kidney Disease III: Interprofessional Care01:28

Chronic Kidney Disease III: Interprofessional Care

Chronic kidney disease (CKD) requires collaborative and comprehensive management. CKD progresses through stages and can lead to end-stage kidney disease (ESKD) if untreated. Interprofessional collaboration and patient education are crucial, enabling patients to manage their health and improve their quality of life.Diagnostic approach for chronic kidney diseaseThe diagnosis of CKD primarily focuses on the glomerular filtration rate (GFR), which assesses kidney function by measuring how well...