Dr. Somesh Sharma (General Practice) needs a second opinion on this medical case.
A 52-year-old male was taken to the hospital with a complaint of severe abdominal pain and fever since yesterday.
Yesterday e fell unconscious at home and had back pain immediately after that.
Temp: 101.2 degree F, BP: 135/85 mmhg, Pulse: 103 bpm, RR: 50 bpm,
the patient had a mild temperature elevation and abdominal
rigidity on exam
WBC: 10,950/µL (4,500-11,000/µL) with a bandemia of 19% and
thrombocytopenia of 113,000/µL (130,000-400,000/µL).
Serum creatine kinase level was 103,105 U/L (<230 U/L).
ALT of 345 U/L (<46 U/L).
CT Head normal,
In CT of the abdomen and pelvis we noted mildly dilated transverse colon.
What is your opinion on diagnosis and treatment?