Slaughterhouse by-products composting: can microorganisms inoculum addition mitigate final compost odor emission?

Small slaughterhouses generate biowaste, which for economic reasons, is generally destined for composting. Inoculating appropriate microorganisms can improve biodegradation efficiency and mitigate odor generation during the composting process and can give rise to composts with neutral or pleasant odors. Therefore, the aim of this study was to compare the odor intensity reduction of compost generated with and without a formulated inoculum (Saccharomyces cerevisiae, Bacillus subtilis, and Rhodopseudomonas palustris). A set of experimental data was collected and analyzed according to the German "Verein Deutscher Ingenieure" odor protocol. The results showed that adding microorganisms was effective in reducing unpleasant odors in all three composts generated from swine, cattle, and poultry slaughterhouse by-products during both summer and winter seasons. Additionally, soil odor was predominant in composts that were inoculated in the two tested seasons (i.e., summer and winter). On the other hand, composts without inoculation had odors similar to peat for swine compost, ammonia for cattle compost, and manure for poultry compost, regardless of the season tested. Overall, composting process with appropriate inoculum can help in the correct disposal of slaughterhouse wastes by transforming organic matter into composts, which can have economic and environmental value as a soil conditioner and/or fertilizer.

A new approach for eliminating off-flavors from RAS fish, as part of the normal grow-out period.

A new concept is presented for eliminating off-flavor from cold-water RAS-grown fish, while feeding, and as a part of the normal grow-out period. The technology is based on disconnecting the nitrification biofilter, and instead passing the water through an electrolysis system, which both oxidizes the ammonia and disinfects the water, while also removing the off-flavor compounds from the water, which thereby results in the purging of the fish. The purging period was expected to last up to 2 weeks and the fish are fed throughout it. Laboratory and pilot plant experiments were performed to prove the new concept. Lab experiments included quantification of the removal of MIB and geosmin by electrooxidation and stripping, together and separately, in the presence and absence of organic matter. A pilot plant experiment was performed using Rainbow trout to determine the rate at which the off-flavor compounds were removed from the water and the fish flesh (both skin and muscle were tested). The results show that the treatment process eliminated off-flavors in the water after ∼7 days and that the fish were below taste and odor threshold for geosmin and MIB after a maximum of 11 days. Detachment from the biofilter and the fact that the water was vigorously disinfected during the electrooxidation step guaranteed that no further off-flavor compounds would be generated during the operation. Aquacultural-management assessment indicates that RAS farms can increase both their annual production and their income by more than 10%, by implementing the suggested concept as part of the grow-out period.

In-vehicle fragrance administration as a countermeasure for driver fatigue.

Driver fatigue is a contributing factor in about 10-30% of all fatal crashes. Prevention of fatigue-related crashes relies on robust detection of driver fatigue and application of effective countermeasures. A potential countermeasure is fragrance administration since odors can have alerting effects on humans. The aim here was to investigate if a fragrance incorporating trigeminal components could be used as an in-vehicle countermeasure for driver fatigue. The fragrance was tested in a driving simulator with 21 healthy but sleep-deprived participants. Each participant performed a monotonous driving task twice, once with active fragrance containing a trigeminal component and once with olfactory fragrance, in a cross-over single-blind design. The order of trigeminal/olfactory fragrance was randomized and blinded to the participants. Both fragrances (trigeminal/olfactory) were administered either when the participant fell asleep (defined as eye closure > 3 s) or after approximately 45 min if the participant did not fall asleep. Self-reported sleepiness was assessed using the Karolinska Sleepiness Scale (KSS) every 5 min during driving. Variability in speed and lateral position and line crossing frequency were logged for each drive to measure driving performance. Heart rate measurements (ECG) and eye blinks (EOG) were collected to investigate potential arousing effects of the fragrance and to track objective signs of sleepiness. Mean blink duration, which was used as an objective measure of sleepiness, decreased significantly, after fragrance exposure, as did the frequency of line crossings, but there were no statistically significant differences between the fragrance with trigeminal stimulus and the pure olfactory fragrance. The results are in line with the effects found for other commonly used fatigue countermeasures, like playing loud music. These countermeasures can restore alertness and driving performance for a short while. Whether this is sufficient to support driving performance until the driver can make a safe stop in real traffic remains a topic for future studies.

Exploring the link between sulphur-containing compounds and noxious odours at waste management facilities: implications for odour monitoring and mitigation strategies.

With this study we challenge the widely held assumption that sulphur-containing compounds in ambient air are good indicators of the presence noxious odours near waste management facilities. We analysed an extensive set of olfactometric data and data on the concentrations of hydrogen sulphide and trace sulphur compounds (TSCs) near a waste management facility in Croatia in 2021. The results show that the presence of noxious odours significantly correlates only with the concentrations of hydrogen sulphide and methyl mercaptan in ambient air but not with other measured TSCs. Thus, in addition to the measurement of pollutants in ambient air, Integrated Pollution and Prevention Control (IPPC) permits should mandate olfactometric measurements to detect and mitigate noxious odours near waste management facilities.

Odour mapping and air quality analysis of a wastewater treatment plant at a seaside tourist area.

Although wastewater treatment plants (WWTPs) play a fundamental role in protecting the aquatic environment as they prevent organic matter, nutrients and other pollutants from reaching the natural ecosystems, near residential areas they can generate unpleasant smells and noise. The plant studied in the present work is in a seaside tourist area in the Valencian Community, Spain. The main aim was to detect any possible perceptible H2S concentrations from the WWTP by experimental measurement campaigns (including sensor readings and olfactometry measurements by two experts) plus mathematical modelling. After a thorough data analysis of the essential variables involved, such as wind speed, wind direction and H2S concentrations (the main odorant) and comparing their temporal patterns, it was found that the probability of affecting the residential area was highest from June to August before noon and in the late evening. The hourly H2S concentration, influent flow rate and temperature showed a positive correlation, the strongest (R2 = 0.89) being the relationship between the H2S concentration and influent flow rate. These two variables followed a similar daily pattern and indicated that H2S was emitted when influent wastewater was being pumped into the biological reactor. The H2S median concentration at the source of the emission was below 1393.865 µg/m3 (1 ppm), although concentrations 10 times higher were occasionally recorded. The observed H2S peak-to-mean ratio (1 min to 1 h of integration times) ranged from 1.15 to 16.03. This ratio and its attenuation with distance from the source depended on the atmospheric stability. Both H2S concentrations and variability were considerably reduced after submerging the inlet. The AERMOD modelling framework and applying the peak-to-mean ratio were used to map the peak H2S concentration and determine the best conditions to eliminate the unpleasant odour.

A randomized, double-blind placebo-control study assessing the protective efficacy of an odour-based 'push-pull' malaria vector control strategy in reducing human-vector contact.

Novel malaria vector control strategies targeting the odour-orientation of mosquitoes during host-seeking, such as 'attract-and-kill' or 'push-and-pull', have been suggested as complementary tools to indoor residual spraying and long-lasting insecticidal nets. These would be particularly beneficial if they can target vectors in the peri-domestic space where people are unprotected by traditional interventions. A randomized double-blind placebo-control study was implemented in western Kenya to evaluate: a 'push' intervention (spatial repellent) using transfluthrin-treated fabric strips positioned at open eave gaps of houses; a 'pull' intervention placing an odour-baited mosquito trap at a 5 m distance from a house; the combined 'push-pull' package; and the control where houses contained all elements but without active ingredients. Treatments were rotated through 12 houses in a randomized-block design. Outdoor biting was estimated using human landing catches, and indoor mosquito densities using light-traps. None of the interventions provided any protection from outdoor biting malaria vectors. The 'push' reduced indoor vector densities dominated by Anopheles funestus by around two thirds. The 'pull' device did not add any benefit. In the light of the high Anopheles arabiensis biting densities outdoors in the study location, the search for efficient outdoor protection and effective pull components needs to continue.

Reduction of odor-causing compounds in wastewater using biochar: A review.

Wastewater contains chemical compounds that cause malodors, such as ammonium cation, dimethyl sulfide, and volatile organic compounds. Biochar-based reduction in the odorants has been proposed as an effective approach along with maintaining environmental neutrality as biochar is a sustainable material made from biomass and biowaste. Biochar can have high specific surface area and microporous structure with proper activation, appropriate for sorption purposes. Recently, various research directions have been proposed to determine the removal efficiency of biochar for different odorants contained in wastewater. This article is aimed at providing the most updated review of biochar-based removal of odor-causing compounds in wastewater while highlighting the current advances. It was distinguished that the odorant removal performance of biochar is highly associated with the raw material and modification method of biochar, and the kind of odorants. Further research should be required for more practical use of biochar for the reduction of odorants in wastewater.

Non-thermal plasma coupled with a wet scrubber for removing odorous VOC.

Odorous volatile organic compounds (VOCs) deteriorate the quality of life and affect human health. In this study, a process was developed to remove an odorous VOC using a combined non-thermal plasma (NTP) and wet scrubber (WS) system. The low removal efficiency of WSs and the large amount of ozone generated by NTP were resolved. Compared to the decomposition effects when using a WS and NTP separately, the NTP + WS system improved the removal efficiency of ethyl acrylate (EA) and significantly reduced ozone emissions. The maximum EA removal efficiency was 99.9%. Additionally, an EA removal efficiency of over 53.4% and a 100% ozone removal efficiency were achieved even at discharge voltages lower than 4.5 kV. Ozone catalysis was confirmed to occur in the NTP + WS system. Furthermore, we verified the removal of by-products such as residual ozone and formaldehyde, which is a representative organic intermediate of EA. This study demonstrates that the NTP + WS system is a green technology for removing odorous VOCs.

Control of odor emissions from livestock farms: A review.

Odor emission seriously affects human and animal health, and the ecological environment. Nevertheless, a systematic summary regarding the control technology for odor emissions in livestock breeding is currently lacking. This paper summarizes odor control technology, highlighting its applicability, advantages, and limitations, which can be used to evaluate and identify the most appropriate methods in livestock production management. Odor control technologies are divided into four categories: dietary manipulation (low-crude protein diet and enzyme additives in feed), in-housing management (separation of urine from feces, adsorbents used as litter additive, and indoor environment/manure surface spraying agent), manure management (semi-permeable membrane-covered, reactor composting, slurry cover, and slurry acidification), and end-of-pipe measures for air treatment (wet scrubbing of the exhaust air from animal houses and biofiltration of the exhaust air from animal houses or composting). Findings of this paper provide a theoretical basis for the application of odor control technology in livestock farms.

Investigation of biochar amendments on odor reduction and their characteristics during food waste co-composting.

The odor emission such as ammonia (NH3) and hydrogen sulfide (H2S) during the composting process is a severe problem that adversely affects the environment and human health. Therefore, this study aimed to (1) evaluate the variation of physicochemical characteristics during the co-composting of food waste, and sawdust mixed biochar; (2) assess the efficiency of biochar-composting combined amendment materials for reducing odor emissions and their maturity. The raw materials including food waste (FW), straw dust (SD), and biochar (BC) were prepared and homogeneously mixed with the weight ranging from 120.0 kg to 135.8 kg with five treatments, BC0 (Control), BC1 (5 % biochar), BC2 (5 % distilled water washed biochar), BC3 (10 % biochar), BC4 (20 % biochar). Adding biochar could change physicochemical properties such as temperature, moisture, and pH during composting. The results indicated applying biochar-composting covering to minimalized NH3 and H2S aided by higher porous structure and surface functional groups. Among trials, biochar 20 % obtained the lowest NH3 (2 ppm) and H2S (3 ppm) emission on day 16 and stopping their emission on day 17. The NH3/NH4+ adsorption on large specific surface areas and highly porous micro-structure of biochar lead to reduced nitrogen losses, while nitrification (NH4+ ➔ NO2- ➔ NO3-) may also contribute to nitrogen retention. The H2S concentration decreased with increasing the biochar proportion, suggesting that biochar could reduce the H2S emission. Correlation analysis illustrated that temperature, moisture, and oxygen are the most critical factors affecting H2S and NH3 emissions (p <0.05). The physicochemical properties and seed germination index indicated that the compost was mature without phytotoxicity. These novelty findings illustrated that the biochar amendment is an effective solution to reduce odor emission and enhances the maturity of compost mixture, which is promising to approach in real-scale conditions and could apply in agricultural fields.

Iron carbon particle dosing for odor control in sewers: Laboratory tests.

Treatment of malodor in the sewer system is a priority in many municipalities for human health concerns, sewer pipe corrosion prevention. In this study, the removal effects of iron-carbon (Fe-C) particles on the inhibition of sulfide in the liquid phase, as well as hydrogen sulfide (H2S) and methyl mercaptan (MeSH) in the headspace were investigated using laboratory-scale reactors simulating gravity-flow sewer system. The results indicated that the sulfide in the liquid phase can be reduced from 15.1 to 16.5 mg S/L to 0.05 and 0.14 mg S/L after 70 g/L and 50 g/L Fe-C particles dosing. The flux of H2S and MeSH in the headspace was also inhibited, and its flux decreased by up to 99%. Meanwhile, the microbial community structures of sulfate-reducing bacteria (SRB) and sulfur-oxidizing bacteria (SOB) in the sediment surface and water were also analyzed, and the results revealed that the relative abundance of SRB in the water and sediment surface was inhibited greatly after adding Fe-C particles, especially for Sulfurospirillum, Clostridium, and Desulfovibrio, while Fe-C particles promoted the growth of SOB. Moreover, the surface deposition was collected and analyzed through X-ray photoelectron spectroscopy (XPS), and the results indicated that sulfide can be removed by co-precipitation with ferrous ions formed through micro-electrolysis of Fe-C. This study provides a new approach to control the in-situ odor pollution for sewage systems.

Hydrothermal pretreatment and compound microbial agents promoting high-quality kitchen waste compost: Superior humification degree and reduction of odour.

Present study investigated the effects of hydrothermal pretreatment (HTP) and addition of compound microbial agent (CMA) on humification, odour generation and metabolism functions of bacterial communities during composting of kitchen waste (KW). Surprisingly, HTP and CMA addition treatment could promote the humification of compost and the control of odour units in contrast to the control (without HTP and CMA addition). The humic acid to fulvic acid ratio of end compost increase by 187.30 %, while humification index (HIX) increased by 18.87 %. 3D-EEM fluorescence spectroscopy of dissolved organic matter (DOM) demonstrated that it facilitated the synthesis of humified compounds and the decomposition of biodegradable compounds. Moreover, the SUVA254, SUVA280 and E253/E203 increased by 118.6 %, 115.25 % and 42.11 % after HTP and CMA addition indicating an increase in aromatic carbon abundance. VFAs had the higher degradation rate (84.91 %) than other treatments (57.46-77.72 %). Meanwhile, the main contributor to the malodorous odour was isovaleric acid, followed by butyric acid and acetic acid during composting. Mantel test indicated that the humification degree was significantly influenced by environmental parameters (temperature, pH, etc.) and metabolic products (HA, DOC and VFAs). Metagenomic analysis indicated that the biodegradation processes at the thermophilic stage were controlled mainly through genes involved in microbial metabolism. HTP and CMA addition was an eco-friendly and efficient strategy to reduce odour emission and improve the compost quality.

Systematic review of topical interventions for the management of odour in patients with chronic or malignant fungating wounds.

Chronic wounds adversely affect the quality of life of individuals and odour is a well-recognised associated factor. Odour can affect sleep, well-being, social interactions, diet and potentially wound healing. This systematic review aims to examine the effectiveness of topical interventions in the management of odour associated with chronic and malignant fungating wounds. A systematic review guided by PRISMA recommendations of randomised controlled trials where odour intensity/odour is the primary outcome was undertaken. Inclusion criteria were adults (18 years and over) with chronic venous, arterial, diabetic or pressure ulcers or with malignant fungating wounds where odour has been managed through topical application of pharmacological/non-pharmacological agents. Searches were conducted in CENTRAL, CINAHL, EMBASE, MEDLINE, Scopus, and Web of Science. Eligibility screening, risk of bias assessment and data extraction was completed by authors working independently. Searches retrieved 171 titles and abstracts (157 post de-duplication). Thirteen studies were retained for full text review of which five (n = 137 individuals) examining the following treatments remained: metronidazole (n = 4), silver (n = 1). Meta-analysis was not possible but individual studies suggest improved outcomes (i.e., reduced odour) using metronidazole. Treatment options to manage wound odour are limited and hampered by lack of clinical trials, small sample sizes, and absence of standardised outcomes and consistent measurement. Whereas metronidazole and silver may have a role in controlling wound odour, robust and well-designed interventions with rigorous procedures and standardised odour outcomes are necessary to evaluate their contribution.

Smart instrumental Odour Monitoring Station for the efficient odour emission management and control in wastewater treatment plants.

Odour emission assessment in wastewater treatment plants (WWTP) is a key aspect that needs to be improved in the plant management to avoid complaints and guarantee a sustainable environment. The research presents a smart instrumental odour monitoring station (SiOMS) composed of an advanced instrumental odour monitoring system (IOMS) integrated with other measurement units, for the continuous characterization and measurement of the odour emissions, with the aim of managing the potential odour annoyance causes in real time, in order to avoid negative effects. The application and on-site validation procedure of the trained IOMS is discussed. Experimental studies have been conducted at a large-scale WWTP. Fingerprint analysis has been applied to analyze and identify the principal gaseous compounds responsible for the odour annoyance. The artificial neural network has been adopted to elaborate and dynamically update the odour monitoring classification and quantification models (OMMs) of the IOMS. The results highlight the usefulness of a real-time measurement and control system to provide continuous and different information to the plant operators, thus allowing the identification of the odour sources and the most appropriate mitigation actions to be implemented. The paper provides important information for WWTP operators, as well as for the regulating bodies, authorities, manufacturers and end-users of odour monitoring systems involved in environmental odour impact management.

Continuous air purification by aqueous interface filtration and absorption.

The adverse impact of particulate air pollution on human health1,2 has prompted the development of purification systems that filter particulates out of air3-5. To maintain performance, the filter units must inevitably be replaced at some point, which requires maintenance, involves costs and generates solid waste6,7. Here we show that an ion-doped conjugated polymer-coated matrix infiltrated with a selected functional liquid enables efficient, continuous and maintenance-free air purification. As the air to be purified moves through the system in the form of bubbles, the functional fluid provides interfaces for filtration and for removal of particulate matter and pollutant molecules from air. Theoretical modelling and experimental results demonstrate that the system exhibits high efficiency and robustness: its one-time air purification efficiency can reach 99.6%, and its dust-holding capacity can reach 950 g m-2. The system is durable and resistant to fouling and corrosion, and the liquid acting as filter can be reused and adjusted to also enable removal of bacteria or odours. We anticipate that our purification approach will be useful for the development of specialist air purifiers that might prove useful in a settings such as hospitals, factories and mines.

Kinetic optimization of odor adsorption with acetate fiber cloth prepared from waste cigarette filter.

Odor pollution with NH3 as major contributor is a notorious issue that strongly influences our living environment. NH3 removal with acetate fiber cloth (AFC) prepared from waste cigarette filter is an economic feasible approach for simultaneous solid wastes disposal. Herein, waste cigarette filter was used to prepare AFC through hot-pressing approach, which was convinced to have good adsorption efficiency on NH3 due to large specific surface area. Effects of hot-pressing temperature, pressure and pressing time on AFC mechanical property and NH3 adsorption efficiencies were optimized by response surface method. As results, hot-pressing treatment improved the specific surface area of AFC to 9.530 m2/g, and thus enhanced NH3 adsorption efficiency to 68.73 % under hot-pressing temperature of 146 °C, pressure of 12.5 kPa and pressing time of 33 min. While the optimal tensile strength of AFC was obtained as 90.43 N under hot-pressing temperature of 140 °C, pressure of 15.0 kPa and pressing time of 30 min. The work provided an economic feasible approach for waste cigarette filter recycling and odor control.

Mechanism of digestate-derived biochar on odorous gas emissions and humification in composting of digestate from food waste.

Emissions of odorous gases and prolonged composting duration are the key concerns in the composting of digestate from food waste (DFW). In this study, different amounts of biochar derived from DFW (BC-DFW) were introduced in the composting process of DFW to decrease the emissions of ammonia (NH3) and volatile sulfur compounds (VSCs) and composting duration. The addition of BC-DFW increased the temperature and germination index during DFW composting. The group with 25% BC-DFW exhibited a 30% smaller composting duration. Significant amounts of NH3 and VSCs emissions were observed in the initial phase of DFW composting. Dimethyl disulfide (DMDS) was a prominent contributor to the odor associated with VSCs. The addition of BC-DFW facilitated the adsorption of NH3 and VSCs, and the corresponding contents decreased by 5-21% and 15-20%, respectively. Moreover,the BC-DFW accelerated the transformation of ammonium-nitrogen (NH4+-N) to nitrate-nitrogen (NO3--N), thereby alleviating the NH3 volatilization. The addition of 25% BC-DFW minimized the NH3 emission and enhanced the generation of humic-acid-like matter, thereby promoting humification. Therefore, the addition of 25% BC-DFW was optimal for promoting the degradation of organic matter and humification and odor emission reduction (e.g., NH3, DMDS).

Deodorizing effects of rosemary extract on silver carp (Hypophthalmichthys molitrix) and determination of its deodorizing components.

Fishy odor in fish products severely influences both eating quality and commercial acceptability, and natural plant extracts, particularly spices, have recently become popular for the removal of fishy odor. This study aimed to explore the potential of rosemary extract for the deodorization of silver carp (Hypophthalmichthys molitrix), as well as to identify the deodorizing components in rosemary extract. Results showed that all of the spice extracts used in this study (ginger, garlic, angelica dahurica, fennel, rosemary, nutmeg, white cardamom, cinnamon, star anise, and bay leaf) significantly reduced the fishy odor value of silver carp, among which rosemary extract was most effective, decreasing the fishy odor value by about 58%. Gas chromatography-mass spectrometry analysis and sensory evaluation showed that the fishy odor value and concentrations of the fishy odor-active compounds were significantly reduced by the application of rosemary extract. However, the lower the total phenolic content of rosemary extract, the poorer the deodorizing effects against silver carp, suggesting that the deodorizing effect was primarily driven by polyphenols. Fourteen phenolic compounds were measured in rosemary extract, and three individual phenolic compounds (rosmarinic acid [RA], carnosic acid [CA], and carnosol [CS]) were chosen for deodorizing experiment. Sensory detection results and changes of contents of volatile showed that these three phenolic compounds are effective at removing the fishy odor. These results suggest that polyphenols are the main deodorizing components, and RA, CA, and CS are the main deodorizing active compounds in rosemary extract. PRACTICAL APPLICATION: The results of this study may provide a new way to determine the deodorizing components of spice extracts. Moreover, it can provide guidance for further research in investigating the deodorizing mechanism of sipce extracts.

Comparison of Long-Term Effectiveness and Safety of Microwave and Surgery in the Treatment of Axillary Osmidrosis: A Single-Center Retrospective Study.

BACKGROUND: A microwave-based device is a newly developed method for treating axillary osmidrosis. Few studies have compared the difference between microwave therapy and subcutaneous curettage for axillary osmidrosis. OBJECTIVE: To compare the long-term effectiveness, complications, and recurrence of osmidrosis after microwave therapy and subcutaneous curettage. METHODS AND MATERIALS: Medical records of 155 patients with osmidrosis treated with microwave therapy or subcutaneous curettage were reviewed retrospectively. Demographic data, visual analog scale for odor, hyperhidrosis disease scale, complications, and recurrence were analyzed. RESULTS: Osmidrosis improved significantly in both treatment groups at 6 months. Effective improvement was observed in 90% and 23% of the patients in the surgery and microwave groups, respectively, after 3 years postoperatively. The recurrence rates were 39% and 21% in the microwave and surgery groups, respectively. The transient complication rate was higher in the microwave group, and long-term complications only occurred in the surgery group. CONCLUSION: Subcutaneous curettage is a more effective approach for axillary osmidrosis. However, microwave therapy is recommended for patients with cosmetic concerns.

Bromhidrosis por trimetilaminuria. Dificultades en su diagnóstico y tratamiento / Bromhidrosis caused by trimethylaminuria. Difficulties in its diagnosis and treatment

La trimetilaminuria es una causa de bromhidrosis, que hay que tener en cuenta en niños prepúberes con un desarrollo normal. Su relación con la ingesta, sobre todo de pescado marino, nos hará sospechar su existencia, que deberemos confirmar mediante el análisis de la excreción urinaria de trimetilamina y el estudio genético. Presentamos cuatro casos de trimetilaminuria donde se analizan y discuten las fórmulas más empleadas para valorar una excreción urinaria aumentada de trimetilamina, su correlación con la gravedad del cuadro y con el rendimiento de las pruebas genéticas. Por último, se describen los tratamientos empleados y se realiza una propuesta de tratamiento, basada en las recomendaciones dietéticas y en el asesoramiento a los padres para un mejor conocimiento y manejo de la enfermedad (AU)

Trimethylaminuria is a cause of bromhidrosis to be considered in pre-pubertal children, with normal development. Its relation with the ingestion, especially of marine fish, will make us suspect its existence that we will have to confirm by means of the analysis of the urinary excretion of trimetilamine and the genetic study. We present four cases of trimethylaminuria where the most used formulas to assess increased urinary excretion of trimethylamine are analysed and discussed, as well as their correlation with the severity of the disease and with the performance of genetic tests. Finally, the used treatments are described, and a treatment proposal is made, based on dietary recommendations and advices to parents for a better understanding and management of the disease (AU)