Case 12-1979

Presentation of CaseAn 85-year-old man was admitted to the hospital because of vomiting and dizziness.He was well until six months previously, when polyarthritis developed, and hyperuricemia was detected. Colchicine was administered, without benefit, and indomethacin was substituted. During the several months before entry he lost nearly 20 kg in weight. Two weeks before admission watery diarrhea developed, and he complained of vague discomfort in the lower portion of the abdomen. On the day of admission he vomited and felt dizzy. He was brought to the hospital.There was a history of myocardial infarction. The patient denied previous diarrhea, . . .