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Previous Volume 341:827-834 September 9, 1999 Number 11 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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Presentation of Case

An 82-year-old woman was admitted to the hospital because of Staphylococcus aureus bacteremia and acute renal failure.

The patient had had diabetes mellitus for 30 years, complicated by nephropathy, retinopathy, a mild neuropathy, and orthostatic hypotension with dizziness. She had taken insulin for 20 years. She underwent percutaneous coronary angioplasty eight years before admission. One year before admission, an occipital-lobe infarction occurred; the results of noninvasive carotid-artery studies were normal. Additional disorders included hyperlipidemia and hypertension.

Two weeks before admission, the patient entered another hospital because of syncope, fever, abdominal tenderness, and a plasma glucose level of 27 mg per . . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnosis

Dr. Michael A. Lew's Diagnosis

Pathological Discussion

Anatomical Diagnosis

Addendum

References

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