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Thesignsandsymptomsof thedeficiencymay include anemia , the buildup of too much acid in the body (metabolic acidosis), frequent infections, andsymptomscaused by problems in the brain including seizures , intellectual disability , and loss of coordination ( ataxia )

At presentation, the patient exhibited the following: Glasgow Coma Score (GCS), 3/15 (3 being the worst, indicating full coma, and 15 being a normal mental state)

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