49-year-old man presented with a 3-month history of general weakness and anorexia. He had been treated for stage 5 chronic kidney disease (CKD) due to diabetic nephropathy for the last three years. His blood urea nitrogen and serum creatinine levels were 96.9 and 8.1 mg/dL, respectively, at the time of admission; azotaemia was accompanied by severe anaemia, hypoalbuminemia, hyperkalaemia, and metabolic acidosis. Haemodialysis was initiated for suspected exacerbation of uraemia; however, intermittent fever, night sweats, and abdominal discomfort persisted. Abdominal computed tomography (CT) and whole-body F-fluorodeoxyglucose positron emission tomography were done.
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