Carnitine deficiency presenting with encephalopathy and hyperammonemia in a patient receiving chronic enteral tube feeding: a case report Full Text
Journal of Medical Case Reports, 08/01/2012
Ling P et al. – This case illustrates the importance of avoiding carnitine deficiency and anti–convulsant toxicity in tube–fed patients encountered in hospital wards and nursing homes. These patients should have their carnitine levels assessed regularly, and supplementation should be provided as necessary. Manufacturers of enteral feeds and formulas should consider adding carnitine to their product lines.