CASE REPORT |
|
Year : 2016 | Volume
: 9
| Issue : 6 | Page : 753-755 |
|
A rare inborn error of metabolism masquerading as meningitis
Madhumita Nandi1, Sumantra Sarkar2, Tapan Dhibar3
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
Source of Support: None, Conflict of Interest: None | Check |
DOI: 10.4103/0975-2870.194220
|
|
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. |
|
|
|
[FULL TEXT] [PDF]* |
|
|
|