Anesthetic Management of a Pediatric Patient With Carnitine Deficiency: A Case Report.
MG, D., C, A., & S, M. (2026). Anesthetic Management of a Pediatric Patient With Carnitine Deficiency: A Case Report.. A&A practice. https://doi.org/10.1213/XAA.0000000000002265
MG D, C A, S M. Anesthetic Management of a Pediatric Patient With Carnitine Deficiency: A Case Report.. A&A practice. 2026; doi: 10.1213/XAA.0000000000002265
MG D, C A, S M. Anesthetic Management of a Pediatric Patient With Carnitine Deficiency: A Case Report.[J]. A&A practice. 2026. DOI: 10.1213/XAA.0000000000002265.
@article{mg2026,
author = {Downard MG and Abbott C and Mahabal S},
title = {Anesthetic Management of a Pediatric Patient With Carnitine Deficiency: A Case Report.},
journal = {A&A practice},
year = {2026},
doi = {10.1213/XAA.0000000000002265},
note = {PMID: 42593425},
}
TY - JOUR AU - Downard MG AU - Abbott C AU - Mahabal S TI - Anesthetic Management of a Pediatric Patient With Carnitine Deficiency: A Case Report. T2 - A&A practice PY - 2026 DO - 10.1213/XAA.0000000000002265 AN - PMID:42593425 ER -
Carnitine deficiency syndromes are a group of rare metabolic disorders characterized by impaired β-oxidation and increased reliance on glucose during metabolic stress. Published literature on anesthetic management in patients with congenital carnitine deficiency is limited. We report the case of a 10-year-old boy with carnitine deficiency undergoing bronchoscopy, tonsillectomy, and adenoidectomy. A nontriggering anesthetic was used due to concern for malignant hyperthermia risk with carnitine palmitoyltransferase deficiency; a diagnosis used interchangeably with primary carnitine deficiency for this patient. This case documents successful anesthetic management with meticulous metabolic support in a patient with a complex metabolic disorder.