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6735 Surgery

A newborn infant has severe respiratory problems. Over the next few days, it is observed that the baby has severe muscle problems, demonstrates little development, and has neurological problems. A liver biopsy reveals a very low level of acetyl CoA carboxylase, but normal levels of the enzymes of glycolysis, gluconeogenesis, the citric acid cycle, and the pentose phosphate pathway. What is the most likely cause of the infant’s respiratory problems?

ALow levels of phosphatidyl choline
BBiotin deficiency
CKetoacidosis
DHigh levels of citrate
Surgery
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