Abstract
Clinical History
Patient
60-year-old male.
Chief Complaint
Fever and sore throat followed by anorexia and abdominal pain, 1 week and 3 days prior to admission to our hospital, respectively.
Past Medical History
Poorly controlled diabetes mellitus, ischemic heart disease and previous coronary artery bypass graft (CABG) surgery.
Drug History
In addition to long-term medications for diabetes mellitus and ischemic heart disease(oral hypoglycemic drugs, aspirin, oral nitrates, and beta-blockers), 1 week prior to admission, the patients took a course of antibiotic (Amoxicillin-Clavulanate) treatment for his upper respiratory tract symptoms. There was no history of illicit drugs use.
Physical Examination
The patient was afebrile, normotensive, euvolemic, and hot encephalopathic. He had no skin rash, pericardial rub, or cardiac murmurs. The chest was clear and his abdomen was non-tender. There was no diarrhea and no urinary symptoms. He had no dyspnea and no hemoptysis.
Principal Laboratory Findings
(Table 1 and Figure 1)
Results of Other Diagnostic Procedures
Ultrasound examination of the abdomen showed gallstones with no biliary obstruction, whereas ultrasound examination of the kidneys showed normal-size kidneys with no obstructive uropathy.