Case presentation A 15-year-old adolescent girl presented to the emergency room with abdominal and back pain complaints. History of presenting illness Diffuse and progressive abdominal pain for a month, radiating to the right flank Nausea and vomiting No h/o pneumaturia Medical history Recurrent urinary tract infections Grade 1 left-sided vesicoureteral reflux diagnosed at the age of five Family history of type I diabetes Personal history H/o smoke exposure H/o drip-drying due to lack of toilet paper at step-parents’ home Table 1.

Clinical and investigational findings at the time of presentation   *CRP - C-reactive protein, WBC - White blood cells, mNGS – Metagenomic next-generation sequencing Source : BMJ Case Reports ##Disclaimer## The content provided on Docplexus is intended for educational purposes only. While we strive to ensure its accuracy, we make no explicit or implied…