Deep in Pediatrics — 7yo Child | Pediatric Endocrinology | SMLE Q#10969

SMLE Question #10969

Pediatrics Pediatric Endocrinology

Objective: OBJ-173

Last updated: February 2026
A 7-year-old boy has 2 days of fever, repeated vomiting, and progressive lethargy after 1 week of polyuria, polydipsia, and weight loss. He is markedly dehydrated with deep, rapid breathing and a fruity breath odor. Lumbar puncture is performed because of concern for CNS infection. What is the most likely diagnosis?

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