Abstract

Transient hyperammonaemia of prematurity is one of inborn errors of metabolism that is not very uncommon. Such diseases need specialization in genetics and metabolic errors, with special laboratory resources. It occurs in neonates and its cause is not clearly known. It affects preterm infants more than term ones. The exact incidence is not known as it can be asymptomatic or missed diagnosed as sepsis or respiratory distress, so needs high index of suspicion to be recognized. We want to inform about a preterm infant who was diagnosed on clinical basis only, as a case of transient hyperammonaemia of prematurity and treated successfully with alternative formula made locally by the treating physician, without sodium benzoate, carnitine, of haemodialysis. The aim of this presentation is to reflect brain storming upon facing such cases while working in a peripheral poor- resourced settings or a lockdown situation.