RT Book, Section A1 Bissonnette, Bruno A1 Luginbuehl, Igor A1 Engelhardt, Thomas SR Print(0) ID 1164080679 T1 Ornithine Carbamoyltransferase Deficiency (OTCD) T2 Syndromes: Rapid Recognition and Perioperative Implications, 2e YR 2019 FD 2019 PB McGraw-Hill Education PP New York, NY SN 9781259861789 LK accessanesthesiology.mhmedical.com/content.aspx?aid=1164080679 RD 2024/04/23 AB Rare genetic anomaly of the urea cycle characterized by complete or partial lack of the enzyme ornithine transcarbamylase (OTC) resulting in hyperammonemia. Clinically, patients present vomiting, refusal to eat, progressive lethargy, and coma.