A 19-Year-Old Man with a History of Recreational Inhalation of Nitrous Oxide with Severe Peripheral Neuropathy and Central Pulmonary Embolism

Oliver Buchhave Pedersen; Anne-Mette Hvas; Erik Lerkevang Grove

doi:10.12659/AJCR.931936

11 August 2021 : Case report Denmark

A 19-Year-Old Man with a History of Recreational Inhalation of Nitrous Oxide with Severe Peripheral Neuropathy and Central Pulmonary Embolism

Unusual clinical course, Challenging differential diagnosis

Oliver Buchhave Pedersen^12CDEF, Anne-Mette Hvas^13CDE, Erik Lerkevang Grove

^23ABCDE*

DOI: 10.12659/AJCR.931936

Am J Case Rep 2021; 22:e931936

Authors information Article notes Copyright and License information

Background Case Report Discussion Conclusions References:

Related articles Order reprints Share article Share by email

View HTML version

Figure 2. Schematic overview of the effect of vitamin B12 on the metabolism of methylmalonic acid and homocysteine. Nitrous oxide (N2O) oxygenates the core of vitamin B12 (B12), leading to inactivation and functional vitamin B12 deficiency. This results in elevated levels of methylmalonic acid and homocysteine.

Back to the Article

A 19-Year-Old Man with a History of Recreational Inhalation of Nitrous Oxide with Severe Peripheral Neuropathy and Central Pulmonary Embolism

Your Privacy