title: Propionic acidemia in a parturient presenting for induction of labor.
abstract: Propionic acidemia is a congenital disorder of metabolism where the enzyme propionyl-CoA carboxylase is nonfunctional, resulting in an accumulation of propionic acid in the blood. It is important to avoid excess protein intake and a catabolic state to prevent acidemia. Additionally, it may be wise to avoid anesthetic drugs metabolized by propionyl-CoA carboxylase because use of these drugs may lead to acidosis. We present a case of a parturient with propionic acidemia who presented for induction of labor.
authors.affiliation: From the Departments of *Anesthesiology and †Obstetrics, Gynecology and Reproductive Sciences, Icahn School of Medicine at Mount Sinai, New York, New York.
authors.forename: Alison
authors.initials: A
authors.lastname: Schmeck
authors.forename: Yaakov
authors.initials: Y
authors.lastname: Beilin