All laboratory findings were well compatible with a metabolic
decompensation of an organic aciduria. Blood and urine samples
were taken and saved for metabolic investigations. Erythrocyte
and thrombocyte transfusions were given for the anemia and
severe thrombocytopenia. Antibiotic treatment and L-carnitine
(100 mg/kg IV per day) supplementations were added and a
protein-restricted diet was started.