부산대학교 도서관

Objective: We report a case of a woman with hyperammonemic encephalopathy following glutamine supplementation.Design: Case report.Interventions: Plasma amino acid analysis suggestive of a urea cycle defect and initiation of a treatment with lactulose and the two ammonia scavenger drugs sodium benzoate and phenylacetate. Together with a restricted protein intake ammonia and glutamine plasma levels decreased with subsequent improvement of the neurological status.Measurements and Main Results: Massive catabolism and exogenous glutamine administration may have contributed to hyperammonemia and hyperglutaminemia in this patient.Conclusion: This case adds further concerns regarding glutamine administration to critically ill patients and implies the importance of monitoring ammonia and glutamine serum levels in such patients. [ABSTRACT FROM AUTHOR]