Skip to main content
Top
Published in: Pediatric Nephrology 7/2007

01-07-2007 | Brief Report

Phenylacetate and benzoate clearance in a hyperammonemic infant on sequential hemodialysis and hemofiltration

Authors: Timothy E. Bunchman, Gina-Marie Barletta, John W. Winters, John J. Gardner, Teri L. Crumb, Kevin D. McBryde

Published in: Pediatric Nephrology | Issue 7/2007

Login to get access

Abstract

An infant with a suspected inborn metabolism error was treated with a metabolic cocktail of intravenous sodium phenylacetate (NaPh) and sodium benzoate (NaBz) for hyperammonemia. Sequential hemodialysis (HD) then hemofiltration (HF) was performed due to hyperammonemia. Dialytic and convective clearance (K; ml/min) of ammonia, NaPh, and NaBz was measured. The K of ammonia was 57 and 37 for HD and HF, respectively. The K of NaBz was 37 and 12 for HD and HF, respectively. The K of NaPh was 38 and 14 ml/min for HD and HF, respectively. Despite high clearance of both NaPh and NaBz by HD and HF, the hyperammonemia was corrected.
Literature
1.
go back to reference Msall M, Batshaw ML, Suss R, Brusilow SW, Mellits ED (1984) Neurologic outcome in children with inborn errors or urea synthesis: outcome of urea-cycle enzymopathies. N Engl J Med 310:1500–1505CrossRef Msall M, Batshaw ML, Suss R, Brusilow SW, Mellits ED (1984) Neurologic outcome in children with inborn errors or urea synthesis: outcome of urea-cycle enzymopathies. N Engl J Med 310:1500–1505CrossRef
2.
go back to reference McBryde KD, Kudelka TL, Kershaw DB, Brophy PD, Gardner JJ, Smoyer WE (2004) Clearance of amino acids by hemodialysis in argininosuccinate synthetase deficiency. J Pediatr 144:536–540CrossRef McBryde KD, Kudelka TL, Kershaw DB, Brophy PD, Gardner JJ, Smoyer WE (2004) Clearance of amino acids by hemodialysis in argininosuccinate synthetase deficiency. J Pediatr 144:536–540CrossRef
3.
go back to reference Picca S, Dionisi-Vici, Abeni D, Pastore A, Rizzo C, Orzalesi M, Sabetta G, Rizzoni G, Bartuli A (2001) Extracorporeal dialysis in neonatal hyperammonemia: modalities and prognostic indicators. Pediatr Nephrol 16:862–867CrossRef Picca S, Dionisi-Vici, Abeni D, Pastore A, Rizzo C, Orzalesi M, Sabetta G, Rizzoni G, Bartuli A (2001) Extracorporeal dialysis in neonatal hyperammonemia: modalities and prognostic indicators. Pediatr Nephrol 16:862–867CrossRef
4.
go back to reference McBryde KD, Kershaw DB, Bunchman TE, Maxvold NJ, Mottes TA, Kudelka TL, Brophy PD (2006) Renal replacement therapy in the treatment of confirmed or suspected inborn errors of metabolism. J Pediatr 148:770–778CrossRef McBryde KD, Kershaw DB, Bunchman TE, Maxvold NJ, Mottes TA, Kudelka TL, Brophy PD (2006) Renal replacement therapy in the treatment of confirmed or suspected inborn errors of metabolism. J Pediatr 148:770–778CrossRef
5.
go back to reference Bunchman TE, Maxvold NJ, Brophy PD (2003) Pediatric convective hemofiltration (CVVH): Normocarb® replacement fluid and citrate anticoagulation. Am J Kidney Dis 42:1248–1252CrossRef Bunchman TE, Maxvold NJ, Brophy PD (2003) Pediatric convective hemofiltration (CVVH): Normocarb® replacement fluid and citrate anticoagulation. Am J Kidney Dis 42:1248–1252CrossRef
6.
go back to reference Brophy PD, Mottes TA, Kudelka TL, McBryde KD, Gardner JJ, Maxvold NJ, Bunchman TE (2001) AN-69 membrane reactions are pH-dependent and preventable. Am J Kidney Dis 38:173–178CrossRef Brophy PD, Mottes TA, Kudelka TL, McBryde KD, Gardner JJ, Maxvold NJ, Bunchman TE (2001) AN-69 membrane reactions are pH-dependent and preventable. Am J Kidney Dis 38:173–178CrossRef
7.
go back to reference Bunchman TE, Maxvold NJ, Barnett J, Hutchings A, Benfield MR (2002) Pediatric hemofiltration: Normocarb® dialysate solution with citrate anticoagulation. Pediatr Nephrol 17:150–154CrossRef Bunchman TE, Maxvold NJ, Barnett J, Hutchings A, Benfield MR (2002) Pediatric hemofiltration: Normocarb® dialysate solution with citrate anticoagulation. Pediatr Nephrol 17:150–154CrossRef
8.
go back to reference MacArthur RB, Altincatal A, Tuchman M (2004) Pharmacokinetics of sodium phenylacetate and sodium benzoate following intravenous administration as both a bolus and continuous infusion to health adult volunteers. Mol Genet Metab 81(Suppl 1):S26–S73 MacArthur RB, Altincatal A, Tuchman M (2004) Pharmacokinetics of sodium phenylacetate and sodium benzoate following intravenous administration as both a bolus and continuous infusion to health adult volunteers. Mol Genet Metab 81(Suppl 1):S26–S73
Metadata
Title
Phenylacetate and benzoate clearance in a hyperammonemic infant on sequential hemodialysis and hemofiltration
Authors
Timothy E. Bunchman
Gina-Marie Barletta
John W. Winters
John J. Gardner
Teri L. Crumb
Kevin D. McBryde
Publication date
01-07-2007
Publisher
Springer Berlin Heidelberg
Published in
Pediatric Nephrology / Issue 7/2007
Print ISSN: 0931-041X
Electronic ISSN: 1432-198X
DOI
https://doi.org/10.1007/s00467-007-0436-z

Other articles of this Issue 7/2007

Pediatric Nephrology 7/2007 Go to the issue