Labour management of a woman with carnitine palmitoyl transferase type 2 deficiency.
Carnitine palmitoyl transferase (CPT) type 2 deficiency is a disorder of mitochondrial fatty acid oxidation. In situations where energy stores are inadequate, such as may occur during labour women with CPT type 2 deficiency are at risk of rhabdomyolysis. There is limited experience in the management of women with this condition in labour. We report a case of successful labour management of a woman with CPT type 2 deficiency, together with a brief review of the published case reports and a discussion of the issues surrounding anaesthetic management.
Slater
P M
PM
Department ofAnaesthesia, Women's and Children's Hospital, North Adelaide, South Australia, Australia.
Grivell
R
R
Cyna
A M
AM
D000328:Adult; D000773:Anesthesia, Obstetrical / Q000379:methods*; D002334:Carnitine O-Palmitoyltransferase / Q000172:deficiency*; D005260:Female; D006801:Humans; D007743:Labor, Obstetric; D011247:Pregnancy; D011248:Pregnancy Complications / Q000503:physiopathology*; D012206:Rhabdomyolysis / Q000517:prevention & control
D002334:Carnitine O-Palmitoyltransferase