Franz A R, Pohlandt F
Neonatologie und pädiatrische Intensivmedizin, Universitätskinderklinik, Ulm, Germany.
Eur J Pediatr. 1996 Apr;155(4):308-10. doi: 10.1007/BF02002718.
We report on a severely hypotrophic male twin with persistent diarrhoea and metabolic acidosis during the first 4 weeks of life, who showed a fivefold normal glutamate concentration in plasma. Further evaluation excluded major defects in amino acid metabolism and after 5 months glutamate concentrations returned to normal. Neither the dizygotic twin sibling nor the parents revealed any clinical abnormalities or acid base or amino acid disturbances.
Transient glutamic acidaemia seems to be an extremely rare condition in newborn infants and appears to be without negative impact on the physical and neurological development during the first months of life.
我们报告了一名严重营养不良的男性双胞胎,在出生后的前4周持续腹泻并伴有代谢性酸中毒,其血浆谷氨酸浓度是正常水平的五倍。进一步评估排除了氨基酸代谢的主要缺陷,5个月后谷氨酸浓度恢复正常。异卵双胞胎兄弟姐妹和父母均未发现任何临床异常或酸碱及氨基酸紊乱。
短暂性谷氨酸血症在新生儿中似乎是一种极其罕见的病症,并且在生命的最初几个月对身体和神经发育似乎没有负面影响。