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Published on: July 18, 2017
Hyperammonaemic encephalopathy after a subureteric injection for vesicoureteric reflux
S M Zuberi1, J B Stephenson, A F Azmy
1Department of Neurology, Royal Hospital for Sick Children, Yorkhill, Glasgow, UK.
Abstract:
A 6 year old boy developed hyperammonaemic encephalopathy following a subureteric injection for treatment of vesicoureteric reflux. The hyperammonaemia may be explained by a postoperative urinary tract infection with a urea splitting organism, leading to raised urine ammonia that was absorbed easily across a dilated urinary tract. Agitation and alteration in consciousness level following a urological procedure, in a child with a dilated urinary tract, may be signs of a treatable hyperammonaemic encephalopathy.
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