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Living with Combined oxidative phosphorylation deficiency 34

A rare mitochondrial condition from birth with hearing loss, low blood sugar and liver and kidney problems.

Understanding Combined oxidative phosphorylation deficiency 34

Combined oxidative phosphorylation deficiency 34 is a rare mitochondrial disease that begins in newborns and affects several organs.

People can have hearing loss from birth, blood sugar that is low sometimes or all the time, and liver and kidney problems that may progress to organ failure. Lactate in the blood may be raised.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • Hearing loss from birth (sensorineural)
  • Enlarged liver and liver failure
  • Slow weight gain (failure to thrive)
  • Low blood cell counts (pancytopenia)
  • Adrenal gland underactivity
  • Vomiting and fever

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include ear, nose, and throat specialists and genetic specialists.

  3. Consider genetic testing

    Changes in MRPS7 are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

  4. Connect with expert centers

    United Mitochondrial Disease Foundation and MitoAction may keep lists of experts for this condition.

Care & treatment

Care team
Ear, nose, and throat specialists (otolaryngologists); Genetic specialists (geneticists)
Expert care
Expert lists: United Mitochondrial Disease Foundation, MitoAction
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with United Mitochondrial Disease Foundation and other patient organizations
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
Should we have genetic testing for the MRPS7 gene?
How often should liver, kidney and blood sugar be checked?
Which hormone tests do we need?

Quick facts

Symptoms usually startNewborn
InheritanceAutosomal Recessive, Mitochondrial
GenesMRPS7

Changes in the MRPS7 gene are listed. GARD lists autosomal recessive and mitochondrial inheritance.

GeneticInherited MetabolicMitochondrial

Also known as: coxpd34; syndromic sensorineural deafness due to combined oxidative phosphorylation defect; syndromic sensorineural deafness due to coxpd; syndromic sensorineural deafness due to coxpd (combined oxidative phosphorylation defect); syndromic sensorineural hearing loss due to coxpd; syndromic sensorineural hearing loss due to coxpd (combined oxidative phosphorylation defect)

Patient organizations

Source: NIH GARD · Combined oxidative phosphorylation deficiency 34GARD ID 17799 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

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