A. Krizova and JC. Herath (2015). Death of a Neonate With a Negative Autopsy and Ketoacidosis: A Case Report of Propionic Acidemia. The American journal of forensic medicine and pathology, 36(3), 193-5. https://doi.org/10.1097/PAF.0000000000000156

PubMed 26017692

[Abstract]
Facing a sudden neonatal death in the forensic setting brings to mind enormous differential diagnostic possibilities. This case report demonstrates that at times, when no anatomical cause of death is apparent after a postmortem examination, ancillary testing can lead to diagnosis. In this case, ancillary testing showed ketosis and further workup showed presence of propionic acidemia in a 3-day-old neonate.