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  1. S-H Tsai,
  2. S-J Chu,
  3. S-J Chen
  1. Department of Emergency Medicine, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan, ROC
  1. Correspondence to:
 S-H Tsai
 Department of Emergency Medicine, Tri-Service General Hospital, National Defense Medical Center, No 325, Cheng-Kung Road, Sec 2, Neihu 114, Taipei, Taiwan, ROC; tsaishihung{at}yahoo.com.tw

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A 77-year-old man presented with epigastric pain and nausea that lasted for 36 h. On arrival, he was hypotensive (100/70 mm Hg) and had low-grade fever (37.4°C). Physical examination showed generalised abdominal …

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  • Competing interests: None.