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Previous Volume 356:526-527 February 1, 2007 Number 5 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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To the Editor: The medical mystery in the December 7, 2006, issue¹ involved a 50-year-old woman who presented to the emergency department with obtundation and hypotension. An abdominal radiograph showed gas throughout the right kidney (Figure 1A). Computed tomography (CT) of the abdomen revealed extensive destruction of the right renal parenchyma with associated gas, as well as gas in the retroperitoneal tissues (Figure 1B). The patient's serum glucose level at presentation was 607 mg per deciliter (33.7 mmol per liter), and her glycated hemoglobin value was 12.2%. She did not have diabetic ketoacidosis. A diagnosis of . . . [Full Text of this Article]

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