title: Death of a Neonate With a Negative Autopsy and Ketoacidosis: A Case Report of Propionic Acidemia.
abstract: Facing a sudden neonatal death in the forensic setting brings to mind enormous differential diagnostic possibilities. This case report demonstrates that at times, when no anatomical cause of death is apparent after a postmortem examination, ancillary testing can lead to diagnosis. In this case, ancillary testing showed ketosis and further workup showed presence of propionic acidemia in a 3-day-old neonate.
authors.affiliation: From the Provincial Forensic Pathology Unit, Toronto, Ontario, Canada.
authors.forename: Adriana
authors.initials: A
authors.lastname: Krizova
authors.forename: Jayantha C
authors.initials: JC
authors.lastname: Herath
mesh_terms: D005260:Female; D006801:Humans; D007231:Infant, Newborn; D007657:Ketone Bodies / Q000378:metabolism; D007662:Ketosis / Q000209:etiology*; D056693:Propionic Acidemia / Q000175:diagnosis*; D014822:Vitreous Body / Q000378:metabolism
chemical_list: D007657:Ketone Bodies