A 70-year-old female presented to the emergency department with a chief complaint of abdominal pain that started 5 days prior to presentation. The abdominal pain was described as nonradiating, constant, 10 out of 10 on the pain scale, and located in the left lower quadrant. The pain was accompanied by nausea, emesis, and diarrhea. She also reported fever and chills for the last 2 days. Blood tests demonstrated hyperglycemia (503 mg/dL), severe thrombocytopenia (27 k/µL), elevated creatinine level (2.9 mg/dL), and lactic acidosis (7.0 mmol/L). She had not seen a physician in the last 10 years and had no prior diagnosis of diabetes. She reported a history of anaphylactic allergic reaction to penicillin.
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Published online: February 03, 2023
Accepted: January 4, 2023
Received: December 22, 2022
Publication stageIn Press Journal Pre-Proof
Conflicts of Interest: None.
Authorship: All authors had access to the data and a role in writing this manuscript.
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