A 28-year-old male patient presented in casualty complaining of fever with chills and rigors with abdominal pain for 20 days. He had initially consumed antibiotics and antipyretics; however, they were ineffective.
Medical examination (Part 1): Patient characteristics: Febrile with a soft abdomen and without guarding or rigidity Routine investigation: Presence of uncontrolled diabetes Laboratory investigation: High erythrocyte sedimentation rate along with high total leukocyte count and positive C-reactive protein Insulin and empirical antibiotics were immediately started in response to routine and laboratory results. Abdominal ultrasonographic examination: Presence of hepatomegaly, chronic pancreatitis, and splenomegaly with multiple splenic abscesses Endoscopic examination of the upper gastrointestinal tract: Manifestation of esophageal candidiasis with a dilated vein at the fundus…
