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Psychological Stress Triggers a Hyperammonemia Episode in Patient with Ornithine Transcarbamylase Deficiency

Author

Listed:
  • Valentín Emilio Fernández-Elías

    (Faculty of Sport Sciences, Universidad Europea de Madrid, Villaviciosa de Odón, 28670 Madrid, Spain)

  • José Francisco Tornero-Aguilera

    (Faculty of Sport Sciences, Universidad Europea de Madrid, Villaviciosa de Odón, 28670 Madrid, Spain)

  • Jose Alberto Parraca

    (Departamento de Desporto e Saúde, Escola de Saúde e Desenvolvimento Humano, Universidade de Évora, Largo dos Colegiais, 7000 Évora, Portugal
    Comprehensive Health Research Centre (CHRC), Universidade de Évora, 7000 Évora, Portugal)

  • Vicente Javier Clemente-Suárez

    (Faculty of Sport Sciences, Universidad Europea de Madrid, Villaviciosa de Odón, 28670 Madrid, Spain)

Abstract

An 18-year-old male motorcycle racer, who was a participant in the FIM Road Racing World Championship and had a history of Ornithine Transcarbamylase deficiency, developed nausea and dizziness while driving his motorcycle and became unconscious right after he stopped at the box. He was rapidly attended to by the medical personnel of the circuit, and once he recovered consciousness, he was taken to the local hospital where the blood analysis showed hyperammonemia (307 μg/dL) and excess alkalosis. The patient was properly following the prescribed treatment, and there were no environmental stressors. Hence, psychological stress and its somatization due to the risky task that the patient was performing could have triggered the episode. Stress must be considered as a potential cause, triggering strenuous metabolic stress that leads to hyperammonemia.

Suggested Citation

  • Valentín Emilio Fernández-Elías & José Francisco Tornero-Aguilera & Jose Alberto Parraca & Vicente Javier Clemente-Suárez, 2022. "Psychological Stress Triggers a Hyperammonemia Episode in Patient with Ornithine Transcarbamylase Deficiency," IJERPH, MDPI, vol. 19(18), pages 1-6, September.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:18:p:11516-:d:913609
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