A 37 y.o. male having left upper quadrant pain of 2 weeks duration, diarrhoea for 3 days, low grade fever, weight loss, malaise, chills, dizziness on standing, poor p.o.

intake, and odynophagia to both liquids and solids of 1 month duration. Past Medical History : IDDM diagnosed at age of 13 years   ESRD Cadaveric renal transplant in 7 years PTA 2d cadaveric renal transplant in 3 years PTA Pancreatic transplant 3 years PTA, rejected almost immediately MI in 7 years PTA Peptic ulcer disease Secondary hyperparathyroidism   parathyroidectomy in 4 years PTA Peripheral vascular disease   multiple AV grafts, left small toe amputation Tenchhoff catheter placement, then removed L femoral posterior-tibial bypass grafting (3 years PTA) Pericarditis   pericardiectomy in 4 years PTA Most recently, treated for osteomyelitis with IV antibiotics, noted oral thrush last several weeks Medications:…