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Hyperammonemic encephalopathy in Staphylococcus aureus necrotizing fasciitis

1 Department of Family Medicine, Hualien Armed Forces General Hospital, Taipei, Taiwan
2 Department of Family Medicine and Community Health Department, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan

Correspondence Address:
Yaw-Wen Chang,
Department of Family and Community Health, National Defense Medical Center, Tri-Service General Hospital, Taipei
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jmedsci.jmedsci_214_22

This study described a rare case of necrotizing fasciitis presenting as neural dysfunction. The patient's serum ammonia level was significantly elevated; however, no liver function impairment was observed. Hyperammonemia is frequently related to the liver's ammonia metabolism failure. In literature reviews, infections also induce critical complications in specific circumstances. Herein, a rare case of Staphylococcus aureus necrotizing fasciitis with a hyperammonemic encephalopathy presentation was offered.


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