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A 66-Year-Old Thai Man with Fever and Abdominal Pain, Clinical Infectious Diseases, Volume 39, Issue 9, 1 November 2004, Page 1346, https://doi.org/10.1086/424669
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A 66-year-old, retired Thai man with a past medical history of hypertension and smoking presented with a 1-week history of fever and increasing abdominal pain, nausea, and vomiting. He reported no history of travel or exposure to animals. At admission to our hospital, the examination findings were remarkable for a temperature of 38.5°C, a pulse of 110 beats per min, blood pressure of 100/50 mm Hg, and marked abdominal tenderness, without peritoneal signs. The initial laboratory data were remarkable for a leukocyte count of 17,100 leukocytes/mm 3 (94% neutrophils, 5% lymphocytes, and 1% monocytes), a blood urea nitrogen level of 55 mg/dL, a creatinine level of 3.6 mg/dL, negative results of a test for HIV antibodies, and a nonreactive Venereal Disease Research Laboratory test result. Two sets of blood samples were obtained for culture, and an abdominal/pelvic CT without contrast was performed (figure 1). Intravenous fluid hydration and empirical antibiotic therapy were started.
