A 55-year-old man with diabetes mellitus
was in his usual state of health until the day before admission, when
he experienced severe abdominal pain that was relieved by a bowel
movement several hours later. The following day, he developed
excruciating right hip pain while driving. He presented to an emergency
department with a temperature of 40°C (104°F) and no focal signs.
He was given a dose of IV ceftriaxone. The patient was transferred to
our institution for further care.