Fatal COVID‐19 infection in a patient with long‐chain 3‐hydroxyacyl‐CoA dehydrogenase deficiency: A case report
Abstract Long‐chain fatty‐acyl CoA dehydrogenase deficiency (LCHADD) is an inborn error of long chain fatty acid oxidation with various features including hypoketotic hypoglycemia, recurrent rhabdomyolysis, pigmentary retinopathy, peripheral neuropathy, cardiomyopathy, and arrhythmias. Various stres...
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doaj-2d325ff95013450f90838313f5f888cf2020-11-25T03:59:18ZengWileyJIMD Reports2192-83122020-11-01561404510.1002/jmd2.12165Fatal COVID‐19 infection in a patient with long‐chain 3‐hydroxyacyl‐CoA dehydrogenase deficiency: A case reportParith Wongkittichote0James R. Watson1Jennifer M. Leonard2Elizabeth R. Toolan3Patricia I. Dickson4Dorothy K. Grange5Division of Genetics and Genomic Medicine, Department of Pediatrics Washington University School of Medicine St Louis Missouri USADivision of Hospital Medicine, Department of Medicine Washington University School of Medicine St Louis Missouri USADepartment of Surgery Washington University School of Medicine St Louis Missouri USADivision of Genetics and Genomic Medicine, Department of Pediatrics Washington University School of Medicine St Louis Missouri USADivision of Genetics and Genomic Medicine, Department of Pediatrics Washington University School of Medicine St Louis Missouri USADivision of Genetics and Genomic Medicine, Department of Pediatrics Washington University School of Medicine St Louis Missouri USAAbstract Long‐chain fatty‐acyl CoA dehydrogenase deficiency (LCHADD) is an inborn error of long chain fatty acid oxidation with various features including hypoketotic hypoglycemia, recurrent rhabdomyolysis, pigmentary retinopathy, peripheral neuropathy, cardiomyopathy, and arrhythmias. Various stresses trigger metabolic decompensation. Coronavirus disease 2019 (COVID‐19) is a pandemic caused by the RNA virus SARS‐CoV‐2 with diverse presentations ranging from respiratory symptoms to myocarditis. We report a case of a patient with LCHADD who initially presented with typical metabolic decompensation symptoms including nausea, vomiting, and rhabdomyolysis in addition to mild cough, and was found to have COVID‐19. She developed acute respiratory failure and refractory hypotension from severe cardiomyopathy which progressed to multiple organ failure and death. Our case illustrates the need for close monitoring of cardiac function in patients with a long‐chain fatty acid oxidation disorder.https://doi.org/10.1002/jmd2.12165cardiomyopathyCOVID‐19fatty acid oxidation disorderLCHADlong‐chain 3‐hydroxyacyl‐CoA dehydrogenase deficiency |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Parith Wongkittichote James R. Watson Jennifer M. Leonard Elizabeth R. Toolan Patricia I. Dickson Dorothy K. Grange |
spellingShingle |
Parith Wongkittichote James R. Watson Jennifer M. Leonard Elizabeth R. Toolan Patricia I. Dickson Dorothy K. Grange Fatal COVID‐19 infection in a patient with long‐chain 3‐hydroxyacyl‐CoA dehydrogenase deficiency: A case report JIMD Reports cardiomyopathy COVID‐19 fatty acid oxidation disorder LCHAD long‐chain 3‐hydroxyacyl‐CoA dehydrogenase deficiency |
author_facet |
Parith Wongkittichote James R. Watson Jennifer M. Leonard Elizabeth R. Toolan Patricia I. Dickson Dorothy K. Grange |
author_sort |
Parith Wongkittichote |
title |
Fatal COVID‐19 infection in a patient with long‐chain 3‐hydroxyacyl‐CoA dehydrogenase deficiency: A case report |
title_short |
Fatal COVID‐19 infection in a patient with long‐chain 3‐hydroxyacyl‐CoA dehydrogenase deficiency: A case report |
title_full |
Fatal COVID‐19 infection in a patient with long‐chain 3‐hydroxyacyl‐CoA dehydrogenase deficiency: A case report |
title_fullStr |
Fatal COVID‐19 infection in a patient with long‐chain 3‐hydroxyacyl‐CoA dehydrogenase deficiency: A case report |
title_full_unstemmed |
Fatal COVID‐19 infection in a patient with long‐chain 3‐hydroxyacyl‐CoA dehydrogenase deficiency: A case report |
title_sort |
fatal covid‐19 infection in a patient with long‐chain 3‐hydroxyacyl‐coa dehydrogenase deficiency: a case report |
publisher |
Wiley |
series |
JIMD Reports |
issn |
2192-8312 |
publishDate |
2020-11-01 |
description |
Abstract Long‐chain fatty‐acyl CoA dehydrogenase deficiency (LCHADD) is an inborn error of long chain fatty acid oxidation with various features including hypoketotic hypoglycemia, recurrent rhabdomyolysis, pigmentary retinopathy, peripheral neuropathy, cardiomyopathy, and arrhythmias. Various stresses trigger metabolic decompensation. Coronavirus disease 2019 (COVID‐19) is a pandemic caused by the RNA virus SARS‐CoV‐2 with diverse presentations ranging from respiratory symptoms to myocarditis. We report a case of a patient with LCHADD who initially presented with typical metabolic decompensation symptoms including nausea, vomiting, and rhabdomyolysis in addition to mild cough, and was found to have COVID‐19. She developed acute respiratory failure and refractory hypotension from severe cardiomyopathy which progressed to multiple organ failure and death. Our case illustrates the need for close monitoring of cardiac function in patients with a long‐chain fatty acid oxidation disorder. |
topic |
cardiomyopathy COVID‐19 fatty acid oxidation disorder LCHAD long‐chain 3‐hydroxyacyl‐CoA dehydrogenase deficiency |
url |
https://doi.org/10.1002/jmd2.12165 |
work_keys_str_mv |
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