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Emphysematous osteomyelitis of the spine mimicking esophageal rupture

      An 89-year-old Japanese woman with diabetes mellitus was transferred to the emergency department because of fever and altered mental status. The patient lived alone, and her medical history was unclear because of loss of consciousness. The serum glucose level was 24.1 mmol/L. Gross hematuria was seen. The blood sample could not be tested because of hemolysis. Sepsis was suspected, and the patient was administrated intravenous infusion and antibiotics and was intubated because of unstable breathing.
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