Abstract
Question: A 44-year-old man with diabetes and a history of severe acute pancreatitis with encapsulated pancreatic necrosis in the context of hyperlipemia requiring admission to the intensive care unit. He was admitted for a second episode of acute pancreatitis. He initially presented renal failure and metabolic acidosis requiring admission to the intensive care unit with the need for vasopressors and the initiation of broad-spectrum antibiotic coverage. Despite antibiotic treatment, on day 7 of admission a high fever occurred, requiring antibiotic escalation with no microbiological findings.
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