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A 24-year-old woman was transferred from another hospital because of abdominal pain and shock. Computed tomographic scans of the abdomen showed ascites, thickening of a segment of small bowel, and mesenteric lymphadenopathy. Laparotomy revealed two areas of necrotic small bowel, which were resected. Despite broad-spectrum antimicrobial therapy, she remained critically ill. On the seventh hospital day, a diagnostic test result was received.
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Klempner et al. (2010) studied this question.
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