Outpatient medications included omeprazole and 5 courses of oral antimicrobial treatment for recurrent urinary tract infections during the previous 3 months. [academic.oup.com]

Report of Case A 66-year-old woman presented to the emergency department with a 1-day history of worsening low back pain, difficulty raising her arms and walking up stairs, and a “thick tongue” with progressive dysphagia and dysarthria. [ncbi.nlm.nih.gov]

She had been in her usual state of health until the previous day, when she experienced onset of upper abdominal pain and distension, followed by shortness of breath. She reported no consumption of home-preserved foods. [academic.oup.com]

Unfortunately, she ultimately experienced recurrent deep venous thrombosis, a complication of her prolonged illness, and died in the rehabilitation facility. [ncbi.nlm.nih.gov]

She had no fever, vomiting, diarrhea, insect or tick bites, or presence of new skin lesions. She was hemodynamically stable on admission. She was alert and oriented, with normal heart, lung, and abdominal physical examination findings. [ncbi.nlm.nih.gov]

The patient’s medical history included Crohn disease, bowel surgery, short bowel syndrome, hypertension, breast cancer, nephrolithiasis, and small fiber polyneuropathy (motor function was normal on nerve conduction studies 6 years earlier). [wwwnc.cdc.gov]

In August 2009, a 72-year-old woman with a history of hypertension, dyslipidemia, and irritable bowel syndrome was evaluated in the emergency room of a hospital. [academic.oup.com]