![]() Abdominal CT was performed to evaluate progressive abdominal pain and vomiting with a high body temperature. Plain abdominal radiography showed mild ileus, and plain chest radiography did not show any abnormal consolidation or effusion. These laboratory findings indicated the possibility of bacterial infection. C-reactive protein level showed marked elevation (22.52 mg/dL) with prolonged prothrombin time (16.3 seconds and 1.42 internatinal normalized ratio). The patient’s serum electrolytes, liver function test results, and routine urinalysis were also within normal limits. The patient’s leukocyte count was 15.72 × 10 3/µL (distribution of lymphocytes, 7.6% neutrophils, 86.5%), which was higher than the normal range, but his hemoglobin level and platelet counts were within the normal ranges. He showed an alert mental status, and therefore did not meet the criteria for septic shock on initial physical examination. His blood pressure was slightly decreased (blood pressure, 110/60 mm Hg), but his respiratory rate was within the normal range (respiratory rate, 18 breaths/min). The patient had fever (38.1℃) with an increased pulse rate (pulse rate, 120 beats/min). He experienced abdominal pain with nausea and vomiting when he arrived at the emergency center. ![]() A 15-year-old boy with no relevant clinical history visited the emergency center of our institution with a complaint of uncontrolled high body temperature (39.1℃) from 1 day.
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