A previously healthy 4-year-old @entity1 was admitted because of @entity879 . He was icteric, lethargic, had elevated @entity3265 and @entity409 tests. Serology was negative for @entity99 . There was no history of hepatotoxic drugs. Family history was unremarkable. The @entity1 was taken to the operating room for a living-related hepatic transplant. Frozen section showed massive @entity99 and hepatocellular @entity39 . Bone marrow aspiration confirmed the diagnosis of @entity981 ( @entity981 ). Transplant was withheld and chemotherapy was attempted. He died the following day due to systemic @entity2617 , @entity2657 , and severe @entity12807 ischemic @entity75 .

XXXX presenting in @entity879 .

@entity1 :: ('9606', 'Species') :: ['boy', 'child'] @entity12807 :: ('MESH:D002534', 'Disease') :: ['anoxic'] @entity981 :: ('MESH:D054198', 'Disease') :: ['ALL', 'acute lymphoblastic leukemia'] @entity2657 :: ('MESH:D001929', 'Disease') :: ['cerebral edema'] @entity3265 :: ('MESH:D000641', 'Chemical') :: ['ammonia'] @entity39 :: ('MESH:D009336', 'Disease') :: ['necrosis'] @entity879 :: ('MESH:D017114', 'Disease') :: ['acute liver failure'] @entity2617 :: ('MESH:D017254', 'Disease') :: ['leukemic infiltration'] @entity409 :: ('MESH:D008107', 'Disease') :: ['abnormal liver function'] @entity75 :: ('MESH:D001927', 'Disease') :: ['encephalopathy'] @entity99 :: ('MESH:D056486', 'Disease') :: ['hepatic leukemic infiltration', 'viral hepatitis']
@entity981 :: (MESH:D054198,Disease) :: ['Acute lymphoblastic leukemia']
