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Kemp J, Sunnquist M, Jason LA, Newton JL
From a physiological standpoint, LCR serves as a substrate for the enzyme carnitine palmitoyltransferase as well as the synthesis of acetylcarnitine, which is necessary for maintaining a feasible pool of free coenzyme A (CoA), allowing for continuation of pyruvate dehydrogenase complex (PDC) and tricarboxylic acid cycle flux 2

Case 1 A previously healthy, vaccinated 23-month-old female presents with two days of fever and rash

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