Carnitine Deficiency after Long-Term Continuous Renal Replacement Therapy
A 60-year-old man was admitted in the intensive care unit (ICU) for a rapidly progressive respiratory failure due to SARS-CoV-2 infection. He developed numerous complications including acute kidney injury (AKI) requiring prolonged continuous renal replacement therapy (CRRT). Enteral feeding was init...
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| Format: | Article |
| Language: | English |
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Wiley
2022-01-01
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| Series: | Case Reports in Critical Care |
| Online Access: | http://dx.doi.org/10.1155/2022/4142539 |
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| author | Caroline Van de Wyngaert Joseph P. Dewulf Christine Collienne Pierre-François Laterre Philippe Hantson |
| author_facet | Caroline Van de Wyngaert Joseph P. Dewulf Christine Collienne Pierre-François Laterre Philippe Hantson |
| author_sort | Caroline Van de Wyngaert |
| collection | DOAJ |
| description | A 60-year-old man was admitted in the intensive care unit (ICU) for a rapidly progressive respiratory failure due to SARS-CoV-2 infection. He developed numerous complications including acute kidney injury (AKI) requiring prolonged continuous renal replacement therapy (CRRT). Enteral feeding was initiated on day 8. Despite nutritional management, there was a remarkable amyotrophy and weight loss. On day 85 in the ICU, the patient became progressively unresponsive. An extensive metabolic workup was performed, and blood results showed hyperammoniemia and hypertriglyceridemia. Plasma free carnitine level was low, as was also copper. After carnitine supplementation, the neurological condition rapidly improved, and metabolic perturbations regressed. Prolonged CRRT may be complicated by clinically significant deficiency in micronutrients and trace elements. |
| format | Article |
| id | doaj-art-e1abc69fbade41309567d847ba8d23bf |
| institution | OA Journals |
| issn | 2090-6439 |
| language | English |
| publishDate | 2022-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Critical Care |
| spelling | doaj-art-e1abc69fbade41309567d847ba8d23bf2025-08-20T02:21:38ZengWileyCase Reports in Critical Care2090-64392022-01-01202210.1155/2022/4142539Carnitine Deficiency after Long-Term Continuous Renal Replacement TherapyCaroline Van de Wyngaert0Joseph P. Dewulf1Christine Collienne2Pierre-François Laterre3Philippe Hantson4Department of Intensive CareDepartment of Clinical ChemistryDepartment of Intensive CareDepartment of Intensive CareDepartment of Intensive CareA 60-year-old man was admitted in the intensive care unit (ICU) for a rapidly progressive respiratory failure due to SARS-CoV-2 infection. He developed numerous complications including acute kidney injury (AKI) requiring prolonged continuous renal replacement therapy (CRRT). Enteral feeding was initiated on day 8. Despite nutritional management, there was a remarkable amyotrophy and weight loss. On day 85 in the ICU, the patient became progressively unresponsive. An extensive metabolic workup was performed, and blood results showed hyperammoniemia and hypertriglyceridemia. Plasma free carnitine level was low, as was also copper. After carnitine supplementation, the neurological condition rapidly improved, and metabolic perturbations regressed. Prolonged CRRT may be complicated by clinically significant deficiency in micronutrients and trace elements.http://dx.doi.org/10.1155/2022/4142539 |
| spellingShingle | Caroline Van de Wyngaert Joseph P. Dewulf Christine Collienne Pierre-François Laterre Philippe Hantson Carnitine Deficiency after Long-Term Continuous Renal Replacement Therapy Case Reports in Critical Care |
| title | Carnitine Deficiency after Long-Term Continuous Renal Replacement Therapy |
| title_full | Carnitine Deficiency after Long-Term Continuous Renal Replacement Therapy |
| title_fullStr | Carnitine Deficiency after Long-Term Continuous Renal Replacement Therapy |
| title_full_unstemmed | Carnitine Deficiency after Long-Term Continuous Renal Replacement Therapy |
| title_short | Carnitine Deficiency after Long-Term Continuous Renal Replacement Therapy |
| title_sort | carnitine deficiency after long term continuous renal replacement therapy |
| url | http://dx.doi.org/10.1155/2022/4142539 |
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