3-day-old Full-term in Pediatrics — Case | Pediatric Emergency | SMLE Q#17365

SMLE Question #17365

Pediatrics Pediatric Emergency

Objective: OBJ-OPH-REFERRAL-001

Last updated: February 2026
A 3-day-old full-term male develops a generalized tonic-clonic seizure after 3 days of poor feeding, lethargy, and vomiting. His parents report a sweet, burnt sugar odor in his diapers. Examination shows decreased responsiveness and mild axial hypotonia. Which of the following is the most likely diagnosis?

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