CASE REPORT
Year : 2016  |  Volume : 9  |  Issue : 6  |  Page : 753-755

A rare inborn error of metabolism masquerading as meningitis


1 Department of Pediatrics, NRS Medical College and Hospital, Kolkata, West Bengal, India
2 Department of Pediatrics, Institute of Postgraduate Medical Education and Research, Kolkata, West Bengal, India
3 Department of Neuroradiology, Bangur Institute of Neurology, Kolkata, West Bengal, India

Correspondence Address:
Madhumita Nandi
6/6, Naren Sarkar Road, Kolkata - 700 008, West Bengal
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0975-2870.194220

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We hereby describe a 7-month-old female baby, born to first-degree cousins, who was initially diagnosed as meningitis based on the features of seizures and dystonia with fever. Detailed review of brain imaging and high urinary 3-hydroxy (3-OH) glutaric acid level confirmed the diagnosis of glutaric aciduria Type I. There is a high probability of these cases getting misdiagnosed as meningitis. Persistent rigidity and dystonia precipitated by a febrile illness and the typical brain imaging picture are clues to the diagnosis of glutaric aciduria Type I, which can be confirmed by raised 3-OH glutaric acid level in body fluids.


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