@article{ref1,
title="Magic potion, concoction, or poison? Multiorgan dysfunction syndrome and dicarboxylic aciduria after quack prescriptions [letter]",
journal="Indian journal of pediatrics",
year="2022",
author="John, Elizabeth Mary and Kolisambeevi, Arif Abdulsalam and Pournami, Femitha and Prithvi, Ajai Kumar and Nandakumar, Anand and Prabhakar, Jyothi and Jain, Naveen",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="India faces myriad, inconceivable issues on the medical front. We received a critically ill young infant, with acute onset multiorgan dysfunction syndrome (MODS): encephalopathy, respiratory and hepatic failure, shock, and acute kidney injury. Differentials considered were sepsis (bacterial/viral), inborn errors of metabolism, hemophagocytosis, critical congenital heart disease, and endocrinopathies. To rule out these, investigations including polymerase chain reaction for pathogens and tandem mass spectrometry (TMS) were done but they did not conclusively support any of the above. Continued parent communication revealed history of oral/nasal instillation &quot;therapy&quot; with indigenous oil and plant-based concoctions for a minor cold.   Intensive care supports to combat organ damages included ventilation for lipoid pneumonia, antibiotics, inotropes, fluid management, and blood product transfusions. Urine gas chromatography (GC) revealed dicarboxylic aciduria. Albeit this would form a basis for considering organic academia; these molecules are found in large concentrations in rancid oils (including medium chain triglycerides) and plant products [1]. These red herrings may be taken into consideration by intensivists...<p /> <p>Language: en</p>",
language="en",
issn="0019-5456",
doi="10.1007/s12098-022-04242-9",
url="http://dx.doi.org/10.1007/s12098-022-04242-9"
}