title: Methylmalonic acidemia mimicking diabetic ketoacidosis and septic shock in infants.
abstract: Methylmalonic acidemia (MMA) is most common inherited type of organic acidemia. It has diverse presentation in older infants without any initial apparent symptoms. MMA sometimes present with sudden metabolic decompensation, which may mimics common emergencies like septic shock and diabetic ketoacidosis (DKA) without early recognition can be fatal. In born error of metabolism especially organic acidemia should be suspected in any infant presented with severe high anion gap metabolic acidosis. We report two cases of MMA in infants presented acutely mimicking DKA and septic shock.
authors: Department of Paediatrics and Paediatric Dermatology, Sigma Hospital Child and Maternity Centre, Jalandhar, Punjab, India.
authors: Navdeep
authors: N
authors: Saini
authors: Department of Paediatrics and Paediatric Dermatology, Sigma Hospital Child and Maternity Centre, Jalandhar, Punjab, India.
authors: Ashwini
authors: A
authors: Malhotra
authors: Department of Paediatrics and Paediatric Dermatology, Sigma Hospital Child and Maternity Centre, Jalandhar, Punjab, India.
authors: Sanjay
authors: S
authors: Chhabra
authors: Department of Paediatrics and Paediatric Dermatology, Sigma Hospital Child and Maternity Centre, Jalandhar, Punjab, India.
authors: Sunny
authors: S
authors: Chhabra
keywords: Anion gap; metabolic acidosis; methylmalonic acidemia