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Case presentation We describe a 6-year-old Japanese girl with Fukuyama-type congenital muscular dystrophy who lost consciousness after 3 days of treatment with an antibiotic containing pivalic acid (cefditoren pivoxil)

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List of abbreviations: ACE - angiotensin-converting enzyme inhibitors

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Each batch undergoes endotoxin testing as part of standard quality control procedures to minimize potential interference in sensitive biochemical assays, receptor-binding studies, and in-vitro or ex-vivo research models