Case presentation A 64-year-old male presented with abdominal pain, non-bloody diarrhea, diffused rash, and possible allergy-related colitis after drinking pineapple juice. Abdominal computed tomography with contrast showed mesenteric edema and an irregular noncalcified thrombus in the abdominal aorta (Cover image). The patient has a history of penicillin allergy and no history of tobacco use, leg claudication, abdominal injury, rest pain, and impotence.
Blood test WBC Count – 18,400 cells/mL Glycated hemoglobin (HbA1c) – 7.1% C-reactive protein – 19 mg/L Autoimmune and thrombophilic disorders, vasculitis, and cardiovascular disease examinations were negative. Cardiovascular examination Echocardiogram – 70% ejection fraction with no valvular disease Electrocardiogram and Holter monitoring - Normal sinus rhythm with no premature ventricular contractions or ventricular tachycardia…
