This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Miscellaneous (Bio-Chemistry), Subject name: Biochemistry
[{'content': 'A child few hours after ingestion of a fruit, vomiting started later developed convulsion. In the hospital his blood glucose was very low, but no ketone bodies. The fruit he ingested was identified as a fruit found in Africa. What is the diagnosis? \nSelect and explain. \nA. MCAD deficiency, B. Zellweger syndrome, C. Carnitine deficiency, D. Jamaican vomiting sickness', 'role': 'user'}, {'content': 'Answer: D \nExplanation: Ans. D. Jamaican vomiting sickness* The fruit given in picture is Ackee apple fruit seen in Africa.* The fruit contains a toxin hypoglycin that inhibit acyl-CoA dehydrogenase.* Lack of beta oxidation results in lack of ATP and acetyl-Co A, which decreases gluconeogenesis.* This result in hypoglycaemia.* No ketone bodies due to lack of beta oxidation.', 'role': 'assistant'}]