Fever in Pediatrics — Case | Pediatric Infectious | SMLE Q#844
SMLE Question #844
Pediatrics
Pediatric Infectious
Objective: OBJ-113
Last updated: February 2026
A 12-day-old formula-fed male presents with fever, lethargy, jaundice, and hepatomegaly. He has poor feeding and vomiting. Initial labs show hypoglycaemia, high anion gap metabolic acidosis, and glucosuria. Urine organic acids show increased galactitol, and urine culture grows Escherichia coli. What is the most likely underlying diagnosis?
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