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Correspondence
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Volume 341:769 September 2, 1999 Number 10
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False Diagnosis of Maple Syrup Urine Disease Owing to Ingestion of Herbal Tea

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To the Editor: Maple syrup urine disease is an inborn error of the metabolism of branched-chain amino acids named after the characteristic sweet aroma, reminiscent of maple syrup, present in the body fluids of affected patients.1 This aroma has been described variously as like that of burnt sugar, malt, curry, or Maggi (a widely available flavoring). We describe a case of "pseudo–maple syrup urine disease" caused by drinking fenugreek tea.

A five-week-old Egyptian infant had a 10-minute episode of unconsciousness while drinking bottled tea. He recovered spontaneously, but the parents nevertheless sought medical attention. On admission the child was in . . . [Full Text of this Article]

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