Abdominal catastrophe in a 43-year-old female with XXXX .

@entity1 @entity1032 @entity1353 @entity39 @entity2185 @entity1661 @entity272 @entity13375 @entity631 @entity454
A 43-year-old female with @entity454 secondary to focal segmental @entity631 was admitted to the hospital for @entity1353 after missing hemodialysis. On admission, the @entity1 was noted to have painful @entity272 consistent with @entity13375 on biopsy. While undergoing aggressive wound care, she developed @entity1032 and was found to be septic and started empirically on broad-spectrum antibiotics. The @entity1 was intubated on day 4 of admission owing to worsening mental status and @entity2185 . She had persistent positive blood cultures throughout her hospitalization despite appropriate antibiotic therapy. On day 25 of admission, the @entity1 was found to have @entity1661 . A radiograph revealed intra-abdominal free air, and the @entity1 was taken to the operating room where she was found to have perforated @entity39 bowel. The @entity1 expired on day 26 of admission. An autopsy revealed @entity13375 within the gut wall and within the dura of the central nervous system. While typically a disorder of subcutaneous tissue, @entity13375 can affect internal organs, which in this case resulted in a catastrophic outcome.
