Case Report
Fatal Nonhepatic Hyperammonemia in ICU Setting: A Rare but Serious Complication following Bariatric Surgery
Table 2
Special laboratory investigation panel.
| Lab test | Results | Ref. range |
| Plasma amino acid profiles: | Alanine | 350 | 200–483 μmol/L | Arginine | 130 | 43–407 μmol/L | Asparagine | 131 | 31–64 μmol/L | Aspartic acid | 5 | 1–4 μmol/L | Beta-alanine | 3 | <5 μmol/L | Citrulline | 43 | 16–51 μmol/L | Glutamine | 1363 | 428–747 μmol/L | Glutamic acid | 55 | 10–97 μmol/L | Glycine | 555 | 122–322 μmol/L | Histidine | 129 | 60–109 μmol/L | Homocysteine | <1 | <1 μmol/L | Hydroxyproline | 71 | 4–27 μmol/L | Isoleucine | 27 | 34–98 μmol/L | Leucine | 46 | 73–182 μmol/L | Lysine | 359 | 119–233 μmol/L | Methionine | 22 | 16–34 μmol/L | Ornithine | 149 | 27–83 μmol/L | Phenylalanine | 70 | 40–74 μmol/L | Proline | 632 | 104–383 μmol/L | Serine | 156 | 65–138 μmol/L | Taurine | 43 | 31–102 μmol/L | Tryptophan | 5 | 40–91 μmol/L | Tyrosine | 46 | 38–96 μmol/L | Valine | 73 | 132–313 μmol/L |
| Serum carnitine levels: | T. carnitine | 88 | 31–67 nmol/mL | F. carnitine | 61 | 25–55 nmol/mL |
| Urine orotic acid level: | Ur. orotic acid | 2.3 | 0.4–1.2 mmol/molcr |
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T.: total; F.: free; Ur.: urine.
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