Abstract
Reply from the Authors: The patient reported by Parra et al. is of interest, particularly in relation to previous reports [4,5] in which it was stressed that high-risk antecedents included young age of patients, polytherapy, mental retardation, and inborn errors of metabolism. Hepatic failure was often preceded by a febrile illness and by status epilepticus. Anorexia, vomiting, seizure exacerbation, and lethargy were common …
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