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Case Records of the Massachusetts General HospitalFree Preview

Case 15-2021: A 76-Year-Old Woman with Nausea, Diarrhea, and Acute Kidney Failure

List of authors.
  • Oladapo O. Yeku, M.D., Ph.D.,
  • Arielle J. Medford, M.D.,
  • Andrew Z. Fenves, M.D.,
  • and Sacha N. Uljon, M.D., Ph.D.

A 76-year-old woman with a history of type 2 diabetes, obstructive sleep apnea, coronary artery disease, and heart failure with reduced ejection fraction presented with nausea, abdominal cramps, and nonbloody diarrhea. The blood level of creatinine was 7.66 mg per deciliter, and the level of lactic acid was 7.4 mmol per liter. A diagnosis was made.

Funding and Disclosures

This case was presented at the Medicine Case Conference.

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.

This article was updated on June 10, 2021, at NEJM.org.

Author Affiliations

From the Departments of Medicine (O.O.Y., A.J.M., A.Z.F.) and Pathology (S.N.U.), Massachusetts General Hospital, and the Departments of Medicine (O.O.Y., A.J.M., A.Z.F.) and Pathology (S.N.U.), Harvard Medical School both in Boston.

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