Recurrent rhabdomyolysis and glutaric aciduria type I: a case report and literature review

World J Pediatr. 2016 Aug;12(3):368-371. doi: 10.1007/s12519-016-0042-x. Epub 2016 Jun 29.

Abstract

Background: Glutaric acidemia type I (GA-I) is a rare metabolic disorder caused by mutation of the glutaryl- CoA dehydrogenase (GCDH) gene. The occurrence of rhabdomyolysis with GA-I is extremely rare.

Methods: We reported a child with recurrent rhabdomyolysis and undiagnosed glutaric acidemia type I (GA-I). And a literature review was performed.

Results: A 4.5-year-old girl was admitted to our hospital due to recurrent rhabdomyolysis for 3 times within three years. At the third admission, she was diagnosed with GA-I by biochemical testing and mutation analysis. The girl was found to have a serine to leucine replacement mutation of the GCDH gene in exon 8 at position 764. Other three patients with rhabdomyolysis and GA-I were discovered by literature searching.

Conclusions: This report highlights that patients with GA-I may have an increased risk of rhabdomyolysis.

Keywords: GCDH mutation; glutaric acidemia type I; rhabdomyolysis.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Amino Acid Metabolism, Inborn Errors / blood*
  • Amino Acid Metabolism, Inborn Errors / complications
  • Amino Acid Metabolism, Inborn Errors / genetics
  • Biopsy, Needle
  • Brain Diseases, Metabolic / blood*
  • Brain Diseases, Metabolic / complications
  • Brain Diseases, Metabolic / genetics
  • Carnitine / therapeutic use
  • Child, Preschool
  • Female
  • Follow-Up Studies
  • Genetic Predisposition to Disease*
  • Glutaryl-CoA Dehydrogenase / blood
  • Glutaryl-CoA Dehydrogenase / deficiency*
  • Glutaryl-CoA Dehydrogenase / genetics*
  • Humans
  • Immunohistochemistry
  • Magnetic Resonance Imaging / methods
  • Rare Diseases
  • Recurrence
  • Rhabdomyolysis / complications
  • Rhabdomyolysis / diagnosis*
  • Rhabdomyolysis / drug therapy*
  • Risk Assessment

Substances

  • Glutaryl-CoA Dehydrogenase
  • Carnitine

Supplementary concepts

  • Glutaric Acidemia I