Figure 4.

Ammonia levels during the second pregnancy were more stable. The patient was hospitalized for the first time at the end of the 2nd trimester from 27 August to 2 September for signs of fatigue and nausea. Intravenous energy support and diet adjustment were required. In October 2019, the patient was hospitalized for a perinatal management assessment when she missed her treatment. This was followed by metabolic decompensation and hospitalization was necessary for the need of infusion therapy.