| DISTAL RENAL TUBULAR ACIDOSIS (RTA) WITH HYPERAMMONEMIA [DD] | |
| Urinary tract infection caused by urea-splitting bacteria, despite being unusual in pediatric patients, must be taken into account [Acosta P 2017] Hyperammonemia is not an uncommon finding in distal renal tubular acidosis, and should be included among differential diagnosis of hyperammonemia in infants and children [Pela L 2007] | |
| Laboratory findings | Ammonia inc (blood) |
| Symptoms | altered consciousness, consciousness disturbance failure to thrive hyperammonemia infections (urinary tract) metabolic acidosis onset, adolescent onset, childhood onset, infancy vomiting |