[L-carnitine treatment and fish odor syndrome: an unwaited adverse effect]. / Traitement par L-carnitine et mauvaise odeur corporelle: un effet secondaire à connaître.

ABSTRACT

INTRODUCTION: Levocarnitine treatment is usually well tolerated, with essentially dose-dependent diarrhea as the main induced adverse effect. CASE REPORT We report a case of fish odor syndrome during levocarnitine treatment which resolved after levocarnitine discontinuation. CONCLUSION: This adverse effect seems to be correlated with excedent carnitine intake and might be expressed when the elimination pathway becomes saturated or in a situation of deficiency enzymatic metabolism.