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A case report of combined oxidative phosphorylation deficiency 35 (COXPD35) in Palestine caused by novel compound heterozygous TRIT1 variants - PubMed

3 hours ago
  • #COXPD35
  • #TRIT1 gene
  • #Mitochondrial disorder
  • First case report of Combined Oxidative Phosphorylation Deficiency 35 (COXPD35) in Palestine caused by novel compound heterozygous TRIT1 variants.
  • Patient presented with seizures, neurodevelopmental delay, microcephaly, dysmorphic facial features, abnormal EEG, and thinning of the corpus callosum.
  • Diagnosis confirmed via Whole-exome sequencing (WES) and Sanger sequencing, identifying two novel TRIT1 variants.
  • Treatment included IV diazepam, ceftriaxone, hydrocortisone, albuterol, ipratropium bromide, hypertonic saline nebulizers, and phenytoin for seizure control.
  • Patient improved clinically with cessation of seizures and recovery from pneumonia.
  • Highlights the expanding phenotypic spectrum of COXPD35 and the role of WES and Sanger sequencing in diagnosis, though challenging in resource-limited settings.