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A 4-year-old girl returns from a trip to Pakistan with her family. She develops a fever, headache, and abdominal pain that persists for one week. She has mild intermittent diarrhea, and a rash develops in the second week of the illness. Salmonella typhi is isolated from the blood that is ampicillin-resistant but chloramphenicol susceptible. Which of the following is the most common adverse effect that occurs with the use of chloramphenicol?

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