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Summary
DISTAL RENAL TUBULAR ACIDOSIS (RTA) WITH HYPERAMMONEMIA DD
Both altered distal renal tubular acidification
and urinary tract infection may be associated with relevant
hyperammonemia in both children and adults [Clericetti LM 2018].

Urinary tract infection caused by urea-splitting bacteria, despite being
unusual in pediatric patients, must be taken into account [Acosta P 2017]

Hyperammonemia is not an uncommon finding in distal renal tubular
acidosis, and should be included among differential diagnosis of
hyperammonemia in infants and children [Pela L 2007]
symptoms
altered consciousness, consciousness disturbance
failure to thrive
hyperammonemia
infections (urinary tract)
metabolic acidosis
onset, adolescent
onset, childhood
onset, infancy
vomiting
laboratory finding
Ammonia +€mol/lblood
Literature