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We report a case of a neonate with propionic acidaemia who had extremely high blood ammonia concentrations with coma, but who survived after the rapid removal of ammonia by peritoneal dialysis","year":"1978","unstructured":"Propionic acidaemia is a rare inborn error of metabolism which can be present in the neonatal period with persistent ketoacidosis and altered neurological status (Rosenberg, 1978). Survival of an infant thus affected depends on rapid diagnosis and immediate institution of measures to alleviate the chemical imbalances accompanying the disease. The usual treatment is to restrict the proteins while maintaining adequate calories and fluids to prevent the accumulation of harmful metabolites, but occasionally deterioration of the condition of the patient necessitates more drastic removal of these metabolites. We report a case of a neonate with propionic acidaemia who had extremely high blood ammonia concentrations with coma, but who survived after the rapid removal of ammonia by peritoneal dialysis."}],"container-title":["Archives of Disease in Childhood"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/adc.54.12.961","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,5,23]],"date-time":"2023-05-23T03:44:29Z","timestamp":1684813469000},"score":1,"resource":{"primary":{"URL":"https:\/\/adc.bmj.com\/lookup\/doi\/10.1136\/adc.54.12.961"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1979,12,1]]},"references-count":5,"journal-issue":{"issue":"12","published-print":{"date-parts":[[1979,12,1]]}},"URL":"https:\/\/doi.org\/10.1136\/adc.54.12.961","relation":{},"ISSN":["0003-9888","1468-2044"],"issn-type":[{"value":"0003-9888","type":"print"},{"value":"1468-2044","type":"electronic"}],"subject":[],"published":{"date-parts":[[1979,12,1]]}}}