Case 7-2021: A 19-Year-Old Man with Shock, Multiple Organ Failure, and Rash

A 19-year-old man was admitted to the pediatric ICU because of shock, multiple organ failure, and rash. Twenty hours before admission, abdominal pain and nausea developed after he ate leftovers from a restaurant meal. Five hours before admission, purplish discoloration of the skin developed. Management decisions were made.