Food Coma: Hyperammonemic Encephalopathy From Refeeding Syndrome
- Resource Type
- Authors
- Joseph Khoory; Harpreet Singh; Kurt Hu; Arashdeep Rupal; Chinmay Jani
- Source
- Cureus
- Subject
- squamous cell carcinoma
medicine.medical_specialty
hyperammonemia
Urea cycle disorder
medicine.medical_treatment
Encephalopathy
Refeeding syndrome
Gastroenterology
Enteral administration
Internal medicine
Internal Medicine
medicine
Renal replacement therapy
Nutrition
urea cycle disorder
Coma
business.industry
General Engineering
Hyperammonemia
encephalopathy
medicine.disease
Oncology
medicine.symptom
refeeding syndrome
business
Hypophosphatemia
- Language
- ISSN
- 2168-8184
Hyperammonemic encephalopathy (HAE) from extrahepatic causes is increasingly being recognized. Refeeding syndrome is characterized by severe fluid and electrolyte shifts following the reintroduction of nutrition. We describe the case of a 67-year-old man with bilateral maxillary sinus squamous cell carcinoma on nivolumab who became comatose after initiation of enteral feeding. Initial workup was notable for severe hypophosphatemia (