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Case Records of the Massachusetts General HospitalFree Preview

Case 7-2021: A 19-Year-Old Man with Shock, Multiple Organ Failure, and Rash

List of authors.
  • Pavan K. Bendapudi, M.D.,
  • Michael J. Whalen, M.D.,
  • Manuella Lahoud-Rahme, M.D.,
  • and Julian A. Villalba, M.D.

A 19-year-old man was admitted to the pediatric ICU because of shock, multiple organ failure, and rash. Twenty hours before admission, abdominal pain and nausea developed after he ate leftovers from a restaurant meal. Five hours before admission, purplish discoloration of the skin developed. Management decisions were made.

Funding and Disclosures

This case was presented at Pediatrics Grand Rounds.

Disclosure forms provided by the authors are available with the full text of this article at NEJM.org.

No potential conflict of interest relevant to this article was reported.

Author Affiliations

From the Departments of Medicine (P.K.B.), Pediatrics (M.J.W., M.L.-R.), and Pathology (J.A.V.), Massachusetts General Hospital, and the Departments of Medicine (P.K.B.), Pediatrics (M.J.W., M.L.-R.), and Pathology (J.A.V.), Harvard Medical School both in Boston.

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