system
Medical AI Inquiry: You were designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.
user
A previously healthy 5-year-old girl is brought to the emergency department by her parents because of a severe headache, nausea, and vomiting for 6 hours. Last week she had fever, myalgias, and a sore throat for several days that resolved with over-the-counter medication. She is oriented only to person. Examination shows bilateral optic disc swelling. Serum studies show:
Glucose 61 mg/dL
Aspartate aminotransferase (AST) 198 U/L
Alanine aminotransferase (ALT) 166 U/L
Prothrombin time 18 sec
Which of the following is the most likely cause of this patient's symptoms?"
assistant
Hepatic mitochondrial injury