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[133] The area is a very flat flood plain at shallow gradient, slowly draining rainwater through an intricate network of channels and bayous to the sea

An X-linked cobalamin disorder caused by mutations in transcriptional coregulator HCFC1

Chloramphenicol can antagonize the hematopoietic response to Methylcobalamin, vitamin B12 through interference with erythrocyte maturation

Low suspicion for disseminated intravascular coagulation (DIC) with largely unremarkable coagulation panel (PT/INR 15.9 seconds/1.3, aPTT 32.9 seconds, and fibrinogen 366 mg/dL), thrombotic thrombocytopenic purpura (TTP) with normal ADAMTS13 activity 86% and antibody levels 3, and other forms of thrombotic microangiopathy (TMA) with no significant schistocytes on peripheral blood smear, negative direct anti-globuin test (DAT), normal complement levels and kidney function