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Labs revealed an elevation of transaminases (aspartate aminotransferase 332 U/l, alanine aminotransferase 365 U/l, normal values are 10–37 and 5–40 U/l, respectively), hyperammonemia (445 μmol/l, normal values ranging 23–47 μmol/l), and a severe anion gap metabolic acidosis

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