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Question: A 9 year old African-American male (Ernie) brought to the hospital emergency department by his parents. Ernie is distressed and has passed dark red urine. His mother tells that he had been complaining of an earache. She has been giving Ernie some of his brother's left over Bactrim (sulfamethoxazole and trimethoprim). A few hours after taking the Bactrim, Ernie complained of nausea. He vomited, was in distress, and passed dark, red colored urine. His father and mother, accompanied by his 2 brothers and 2 sisters, rushed him to the emergency room. Upon further questioning, Ernie's mother tells you that when he was 4 years old, Ernie developed jaundice during the course of treatment for acute bronchitis. No explanation was found.
What is the most likely cause of the patient's symptoms?
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