P L van Daele1, J C Quero Guillen, W Lesterhuis
1Merwede Ziekenhuis, afd. Inwendige Geneeskunde en Gastro-enterologie, Dordrecht.
An 81-year-old man experienced coma due to hyperammonaemia. This was likely caused by ammonia absorption from Proteus mirabilis in his obstructed urinary tract, leading to rapid death.
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