Table 1.

Results of biochemical examinations on admission to our hospital.

【Arterial blood test】
WBC	4500	/μL	AST	105	U/L	NH3	3286	μg/dL
Neu	84.6	%	ALT	85	U/L	Glucose	325	mg/dL
Lym	8.9	%	LDH	374	U/L	Lactate	26	mg/dL
Eos	0	%	ALP	839	U/L	Pyruvate	1	mg/dL
Bas	0	%	γGTP	18	mg/dL
Mon	6.5	%	BUN	7	mg/dL	〔Blood gas analysis (intubation)〕
Hb	13.6	g/dL	Cre	0.46	mEq/L	pH	7.464
Plt	23.8	×103/μL	Na	139	mEq/L	pCO2	22.6	mmHg
			K	4.8	mEq/L	pO2	222	mmHg
PT	85	%	Cl	106	mEq/L	HCO3−	16.2	mEq/L
APTT	69	Sec	CRP	0.09	mg/dL	BE	−6.8	mEq/L
Fibrinogen	189	mg/dL
D-dimer	4.3	μg/mL
【Blood amino acid analysis】
	Cit	105.7	nmol/mL	(17.9–48.0 nmol/mL)
	Orn	8.3	nmol/mL	(42.6–141.2 nmol/mL)
	Arg	25	nmol/mL	(31.8–149.5 nmol/mL)
	Asp	34.2	nmol/mL	(trace–7.2 nmol/mL)
	Asn	17.6	nmol/mL	(43.8–90.6 nmol/mL)
	Glu	207.2	nmol/mL	(12.2–82.7 nmol/mL)
	Gln	893.6	nmol/mL	(418–739.8 nmol/mL)
	Ala	424.1	nmol/mL	(258.8–615.2 nmol/mL)
【Urine organic acid analysis】
Urinary excretion of lactate, pyruvate, acetoacetic acid, 3-hydroxybutyric acid, α-keto acid, uracil, and orotic acid was increased.
Serum argininosuccinic acid			431.03	μmol/L (<1.5 μmol/L)
Urine argininosuccinic acid			24577	μmol/mmol Cre

Ala: alanine, ALP: alkaline phosphatase, ALT: alanine aminotransferase, Arg: arginine, Asn: asparagine, Asp: aspartic acid, AST: aspartate aminotransferase, bas: basophil, BE: base excess, BUN: blood urea nitrogen, Cit: citrulline, Cre: creatinine, CRP: C-reactive protein, eos: eosinophil, γGTP: γ-glutamyl transpeptidase, Gln: glutamine, Glu: glutamic acid, LDH: lactate dehydrogenase, lym: lymphocyte, mon: monocyte, neu: neutrophil, Orn: ornithine.