A 36-year-old female presented to the emergency department with the complaints of abdominal distension, diarrhea, nausea, and vomiting that had persisted for a week. No numbness or tingling sensation was experienced in the involved area in the past . Patient history Malignancy history is absent in the patient. Her past medical history was only significant for anemia.

She also described ankle pain and a dark rash behind her ears that had been present for three weeks. Past hospital history The patient was presented to the ED with similar complaints two days ago, and was discharged post treatment with metronidazole and ciprofloxacin under the impression of bacterial gastroenteritis. However, she returned when her symptoms progressively worsened. Pathology and radiologic investigations Laboratory results revealed Elevated acute phase reactants, anemia, and acute renal insufficiency…