A 47-year-old woman with schizophrenia and a history of chronic pancreatitis, alcohol use disorder, chronic portal vein thrombosis, and chronic left-sided pleural effusion presented with a 1-day history of fever, shortness of breath, dysphagia, and abdominal pain. On admission, she was febrile, tachypnic, and tachycardic. She had shortness of breath and dysphagia. Her physical examination results were significant for diaphoresis, sclera icterus, diffuse abdominal pain, and exquisite back tenderness. Broad-spectrum antibiotics were started, she was given 4 L oxygen by nasal cannula, and she was admitted to the medicine service for further management.
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