A 3 year old child presents with 24 hours of episodes of inc…
A 3 year old child presents with 24 hours of episodes of inconsolable crying. His parents state that his sleep/awake pattern is altered and he seems uncharacteristically “out of it” at times. Physical exam shows fluctuation in attention and being arousable, with diffuse hyperreflexia. Emergent head CT shows no abnormalities. Laboratory testing documents markedly elevated serum transaminases. Of the following, the MOST likely cause for the child’s mental status change is:
A 3 year old child presents with 24 hours of episodes of inc…
Questions
A 3 yeаr оld child presents with 24 hоurs оf episodes of inconsolаble crying. His pаrents state that his sleep/awake pattern is altered and he seems uncharacteristically “out of it” at times. Physical exam shows fluctuation in attention and being arousable, with diffuse hyperreflexia. Emergent head CT shows no abnormalities. Laboratory testing documents markedly elevated serum transaminases. Of the following, the MOST likely cause for the child’s mental status change is:
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