Skip to main content
Log in

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

  • Case Report
  • Published:
World Journal of Pediatrics Aims and scope Submit manuscript

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.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Hedlund GL, Longo N, Pasquali M. Glutaric acidemia type 1. Am J Med Genet C Semin Med Genet 2006;142C:86–94.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  2. Couce ML, López-Suárez O, Bóveda MD, Castiñeiras DE, Cocho JA, García-Villoria J, et al. Glutaric aciduria type I: outcome of patients with early-versus late-diagnosis. Eur J Paediatr Neurol 2013;17:383–389.

    Article  PubMed  Google Scholar 

  3. Bosch X, Poch E, Grau JM. Rhabdomyolysis and acute kidney injury. N Engl J Med 2009;361:62–72.

    Article  CAS  PubMed  Google Scholar 

  4. Wilson CJ, Collins JE, Leonard JV. Recurrent rhabdomyolysis in a child with glutaric aciduria type I. J Inherit Metab Dis 1999;22:663–664.

    Article  CAS  PubMed  Google Scholar 

  5. Chow SL, Rohan C, Morris AA. Rhabdomyolysis in glutaric aciduria type I. J Inherit Metab Dis 2003;26:711–712.

    Article  CAS  PubMed  Google Scholar 

  6. Jamuar SS, Newton SA, Prabhu SP, Hecht L, Costas KC, Wessel AE, et al. Rhabdomyolysis, acute renal failure, and cardiac arrest secondary to status dystonicus in a child with glutaric aciduria type I. Mol Genet Metab 2012;106:488–490.

    Article  CAS  PubMed  Google Scholar 

  7. Tang NL, Hui J, Law LK, To KF, Mak TW, Cheung KL, et al. Overview of common inherited metabolic diseases in a Southern Chinese population of Hong Kong. Clin Chim Acta 2001;313:195–201.

    Article  CAS  PubMed  Google Scholar 

  8. Goodman SI, Stein DE, Schlesinger S, Christensen E, Schwartz M, Greenberg CR, et al. Glutaryl-CoA dehydrogenase mutations in glutaric acidemia (type I): review and report of thirty novel mutations. Hum Mutat 1998;12:141–144.

    Article  CAS  PubMed  Google Scholar 

  9. Zschocke J, Quak E, Guldberg P, Hoffmann GF. Mutation analysis in glutaric aciduria type I. J Med Genet 2000;37:177–181.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  10. Tang NL, Hui J, Law LK, Lam YY, Chan KY, Yeung WL, et al. Recurrent and novel mutations of GCDH gene in Chinese glutaric acidemia type I families. Hum Mutat 2000;16:446.

    Article  CAS  PubMed  Google Scholar 

  11. Liu Q, Chen Y, Chen W. Mutation analysis of GCDH gene in four patients with glutaric academia type I. Zhonghua Yi Xue Yi Chuan Xue Za Zhi 2015;32:187–191. [In Chinese]

    CAS  PubMed  Google Scholar 

  12. Wang Q, Li X, Ding Y, Liu Y, Song J, Yang Y. Clinical and mutational spectra of 23 Chinese patients with glutaric aciduria type 1. Brain Dev 2014;36:813–822.

    Article  CAS  PubMed  Google Scholar 

  13. Gupta N, Singh PK, Kumar M, Shastri S, Gulati S, Kumar A, et al. Glutaric acidemia type 1-clinico-molecular profile and novel mutations in GCDH gene in Indian patients. JIMD Rep 2015 2015;21:45–55.

    Google Scholar 

  14. Mushimoto Y, Fukuda S, Hasegawa Y, Kobayashi H, Purevsuren J, Li H, et al. Clinical and molecular investigation of 19 Japanese cases of glutaric acidemia type 1. Mol Genet Metab 2011;102:343–348.

    Article  CAS  PubMed  Google Scholar 

  15. Busquets C, Soriano M, de Almeida IT, Garavaglia B, Rimoldi M, Rivera I, et al. Mutation analysis of the GCDH gene in Italian and Portuguese patients with glutaric aciduria type I. Mol Genet Metab 2000;71:535–537.

    Article  CAS  PubMed  Google Scholar 

  16. Zhang RN, Li YF, Qiu WJ, Ye J, Han LS, Zhang HW, et al. Clinical features and mutations in seven Chinese patients with very long chain acyl-CoA dehydrogenase deficiency. World J Pediatr 2014;10:119–125.

    Article  CAS  PubMed  Google Scholar 

  17. Amaral AU, Cecatto C, Seminotti B, Zanatta Â, Fernandes CG, Busanello EN, et al. Marked reduction of Na(+), K(+)-ATPase and creatine kinase activities induced by acute lysine administration in glutaryl-CoA dehydrogenase deficient mice. Mol Genet Metab 2012;107:81–86.

    Article  CAS  PubMed  Google Scholar 

  18. Kölker S, Christensen E, Leonard JV, Greenberg CR, Boneh A, Burlina AB, et al. Diagnosis and management of glutaric aciduria type I—revised recommendations. J Inherit Metab Dis 2011;34:677–694.

    Article  PubMed  PubMed Central  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Qian, GL., Hong, F., Tong, F. et al. Recurrent rhabdomyolysis and glutaric aciduria type I: a case report and literature review. World J Pediatr 12, 368–371 (2016). https://doi.org/10.1007/s12519-016-0042-x

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12519-016-0042-x

Key words

Navigation